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General NPI Number Information
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NPI Number | 1992752331
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Entity Type | Individual
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Provider Name | SCHUBERT PEROTTE MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 865 STONE ST
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City | RAHWAY
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State | NJ
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Zip | 07065-2742
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Country | US
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Telephone | 732-381-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 10 N WOOD AVE APT #419
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City | LINDEN
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State | NJ
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Zip | 07036-5200
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Country | US
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Telephone | 908-862-9156
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA08045600
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License Number State | NJ
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