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General NPI Number Information
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NPI Number | 1912926254
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Entity Type | Individual
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Provider Name | SHARI ELLEN DIAMOND D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2500 US HIGHWAY 1
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4134
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Country | US
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Telephone | 609-771-6660
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Fax | 609-530-0966
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Provider Business Mailing Address
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Address Line | 46 SOURLAND HILLS RD
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City | SKILLMAN
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State | NJ
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Zip | 08558-1519
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Country | US
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Telephone | 609-466-4935
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Fax | 609-530-0966
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 51984
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License Number State | NJ
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