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General NPI Number Information
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NPI Number | 1902095557
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Entity Type | Organization
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Legal Business Name | PRINCETON & RUTGERS NEUROLOGY,P.A
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 51 VERONICA AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-3448
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Country | US
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Telephone | 732-246-1311
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Fax | 732-246-3089
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Provider Business Mailing Address
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Address Line | 51 VERONICA AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-3448
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Country | US
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Telephone | 732-246-1311
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Fax | 732-246-3089
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Authorized Official
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Title or Position | PARTNER
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Name | ROGER BEHAR
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Credential | M.D.
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Telephone | 732-246-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | NJ
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