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General NPI Number Information
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NPI Number | 1992840466
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Entity Type | Individual
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Provider Name | TARA CONTILIANO
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2100 WESCOTT DR HMC OHS
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4603
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Country | US
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Telephone | 908-788-6146
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Fax |
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Provider Business Mailing Address
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Address Line | 518 DORI PL
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City | STEWARTSVILLE
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State | NJ
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Zip | 08886-3209
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00039700
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License Number State | NJ
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