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General NPI Number Information
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NPI Number | 1922394576
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Entity Type | Individual
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Provider Name | JOSEPH NUNZIO BADOLATO DO
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Gender | Male
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 435 HURFFVILLE CROSSKEYS RD
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City | SEWELL
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State | NJ
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Zip | 08080-0000
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Country | US
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Telephone | 856-582-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 454 HURFFVILLE CROSS KEYS RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2448
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Country | US
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Telephone | 856-218-5634
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MB09398500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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