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General NPI Number Information
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NPI Number | 1962650457
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Entity Type | Organization
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Legal Business Name | WEST DEPTFORD ANIMAL HOSPITAL
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 1044 MANTUA PIKE RT 45
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City | WENONAH
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State | NJ
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Zip | 08090-1124
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Country | US
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Telephone | 856-464-8567
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Fax | 856-464-0313
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Provider Business Mailing Address
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Address Line | 1044 MANTUA PIKE RT 45
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City | WENONAH
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State | NJ
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Zip | 08090-1124
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Country | US
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Telephone | 856-464-8567
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Fax | 856-464-0313
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA J FARGHER
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Credential | V.M.D
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Telephone | 856-464-8567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | VI 003231
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License Number State | NJ
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