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General NPI Number Information
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NPI Number | 1952449399
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Entity Type | Organization
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Legal Business Name | RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 55 COMMERCIAL AVE
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2786
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Country | US
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Telephone | 848-932-4982
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Fax | 732-932-4992
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Provider Business Mailing Address
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Address Line | PO BOX 1077
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City | PISCATAWAY
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State | NJ
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Zip | 08855-1077
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Country | US
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Telephone | 848-932-4982
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Fax | 732-932-4992
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Authorized Official
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Title or Position | MANAGER OF QA AND PLANNING
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Name | MRS. CAROL NOWITZKE
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Credential |
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Telephone | 848-932-4982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | RUTG00510
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License Number State | NJ
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