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General NPI Number Information
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NPI Number | 1891748398
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Entity Type | Organization
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Legal Business Name | NETWORK PHYSICIANS OF NEW JERSEY PC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 443 LAUREL OAK RD SUITE 200
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City | VOORHEES
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State | NJ
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Zip | 08043-4419
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Country | US
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Telephone | 215-456-4985
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Fax | 215-254-2599
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Provider Business Mailing Address
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Address Line | PO BOX 8500-8735
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City | PHILADELPHIA
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State | PA
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Zip | 19178-8735
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Country | US
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Telephone | 215-456-7000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARY JACKSON
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Credential |
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Telephone | 215-456-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD445899
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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