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General NPI Number Information
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NPI Number | 1972833655
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Entity Type | Individual
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Provider Name | PETER LAMONT HERRIDGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2010
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Last Update Date | 01/02/2010
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Provider Practice Location Address
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Address Line | 2815 FOX RUN DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-2734
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Country | US
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Telephone | 201-787-1637
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Fax |
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Provider Business Mailing Address
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Address Line | JOHNSON & JOHNSON ONE JOHNSON & JOHNSON PLAZA
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08933-0001
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Country | US
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Telephone | 732-524-5352
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Fax | 732-524-2134
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA04766700
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License Number State | NJ
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