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General NPI Number Information
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NPI Number | 1902818248
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN HEALTH AND MEDICINE, PC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE SUITE 107
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-322-0220
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Fax | 973-322-0221
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Provider Business Mailing Address
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Address Line | 200 S ORANGE AVE SUITE 107
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-322-0220
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Fax | 973-322-0221
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEANINE BULAN
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Credential | M.D.
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Telephone | 973-716-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07456700
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License Number State | NJ
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