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General NPI Number Information
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NPI Number | 1982892808
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Entity Type | Organization
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Legal Business Name | STEFANACCI & DEMURO,DO'S
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 338 CHESTNUT ST
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City | PASSAIC
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State | NJ
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Zip | 07055-3158
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Country | US
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Telephone | 973-471-9494
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Fax | 973-777-8464
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Provider Business Mailing Address
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Address Line | 338 CHESTNUT ST
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City | PASSAIC
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State | NJ
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Zip | 07055-3158
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Country | US
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Telephone | 973-471-9494
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Fax | 973-777-8464
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PAUL DEMURO
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Credential | DO
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Telephone | 973-471-9494
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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 | MB037972
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License Number State | NJ
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