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General NPI Number Information
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NPI Number | 1952557696
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Entity Type | Organization
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Legal Business Name | TSAROUHAS MEDICAL LLC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 2999 PRINCETON PIKE SUITE 3
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-3261
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Country | US
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Telephone | 609-882-9333
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Fax | 609-882-1026
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Provider Business Mailing Address
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Address Line | 2402 NOTTINGHAM WAY
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City | MERCERVILLE
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State | NJ
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Zip | 08619-4102
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Country | US
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Telephone | 609-838-7933
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Fax | 609-838-7935
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOUIS TSAROUHAS
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Credential | MD
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Telephone | 609-882-9333
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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 | MA51969
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License Number State | NJ
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