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General NPI Number Information
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NPI Number | 1942674262
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Entity Type | Organization
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Legal Business Name | CV DYNAMICS, INC.
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 185 S ORANGE AVE MSB G609
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City | NEWARK
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State | NJ
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Zip | 07103-2757
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Country | US
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Telephone | 609-389-0485
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Fax |
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Provider Business Mailing Address
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Address Line | 15 W 72ND ST APT. 34C
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City | NEW YORK
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State | NY
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Zip | 10023-3402
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Country | US
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Telephone | 609-389-0485
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN F. VATNER
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Credential | M.D.
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Telephone | 609-389-0485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number | 25MA07193500
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License Number State | NJ
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