ProviderBusinessMailingAddressFaxNumber = '9733613419'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1306850888
SCOLNICK
DAVID
447 RTE 10
RANDOLPH
NJ
078692132
1194768580
SCOLNICK
ITA
447 ROUTE 10 EAST
RANDOLPH
NJ
07869
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