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General NPI Number Information
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NPI Number | 1942304712
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Entity Type | Organization
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Legal Business Name | NNA-SAINT BARNABAS-LIVINGSTON, L.L.C.
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MARK FAWCETT
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Credential |
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Telephone | 781-699-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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