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General NPI Number Information
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NPI Number | 1912621343
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Entity Type | Organization
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Legal Business Name | SBDOCS
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 231 BLACKHORSE LANE
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852
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Country | US
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Telephone | 848-274-0607
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Fax | 848-274-0608
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Provider Business Mailing Address
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Address Line | 66 W GILBERT ST STE 100
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4948
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Country | US
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Telephone | 732-996-2270
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH J CALABRO
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Credential | DO
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Telephone | 732-212-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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