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General NPI Number Information
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NPI Number | 1992022420
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Entity Type | Organization
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Legal Business Name | JAMES L. AMATO, M.D. , P.A.
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 276 PROSPECT ST
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City | EAST ORANGE
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State | NJ
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Zip | 07017-2889
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Country | US
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Telephone | 973-678-7227
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Fax | 973-678-0309
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Provider Business Mailing Address
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Address Line | 276 PROSPECT ST
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City | EAST ORANGE
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State | NJ
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Zip | 07017-2889
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Country | US
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Telephone | 973-678-7227
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Fax | 973-678-0309
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES L. AMATO SR.
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Credential | M.D.
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Telephone | 973-678-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MA19500
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License Number State | NJ
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