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General NPI Number Information
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NPI Number | 1932381670
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Entity Type | Organization
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Legal Business Name | JOHN MCNERNEY DBA DR JOHN MCNERNEY
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 490 WASHINGTON AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-1906
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Country | US
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Telephone | 201-664-2800
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Fax | 201-664-5141
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Provider Business Mailing Address
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Address Line | 490 WASHINGTON AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-1906
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Country | US
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Telephone | 201-664-2800
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Fax | 201-664-5141
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JOHN E MCNERNEY
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Credential | D.P.M.
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Telephone | 201-664-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 25MD00101600
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License Number State | NJ
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