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General NPI Number Information
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NPI Number | 1942538244
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Entity Type | Organization
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Legal Business Name | JOHN J PASTORE MD PA
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 800 E ELMER ST
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City | VINELAND
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State | NJ
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Zip | 08360-4725
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Country | US
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Telephone | 856-691-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E ELMER ST
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City | VINELAND
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State | NJ
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Zip | 08360-4725
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Country | US
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Telephone | 856-691-2555
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Fax |
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Authorized Official
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Title or Position | FAMILY PHYSICIAN/OWNER
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Name | DR. JOHN JAMES PASTORE
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Credential | M.D.
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Telephone | 856-691-2555
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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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