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General NPI Number Information
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NPI Number | 1952400012
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Entity Type | Individual
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Provider Name | ERINE ALLISON KUPETSKY D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 638 LAWRENCEVILLE RD
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4208
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Country | US
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Telephone | 609-337-7643
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BECCA WAY
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City | ALLENTOWN
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State | NJ
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Zip | 08501-2100
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Country | US
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Telephone | 609-947-3786
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 5101017085
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License Number State | MI
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