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General NPI Number Information
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NPI Number | 1962487884
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Entity Type | Organization
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Legal Business Name | PEDIATRICS OF MORRIS
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 35 GREEN POND RD
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City | ROCKAWAY
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State | NJ
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Zip | 07866-2013
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Country | US
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Telephone | 973-625-5538
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Fax | 973-625-9424
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Provider Business Mailing Address
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Address Line | 35 GREEN POND RD
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City | ROCKAWAY
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State | NJ
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Zip | 07866-2013
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Country | US
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Telephone | 973-625-5538
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Fax | 973-625-9424
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. SILVIA M MAGADAN
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Credential | D,O
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Telephone | 973-625-5538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MBO58039
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License Number State | NJ
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