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General NPI Number Information
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NPI Number | 1033426291
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Entity Type | Organization
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Legal Business Name | NJ HEALTH SERVICES
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 544 SUMMIT AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-2702
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Country | US
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Telephone | 201-653-0022
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Fax | 201-653-0443
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Provider Business Mailing Address
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Address Line | PO BOX 6440
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City | JERSEY CITY
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State | NJ
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Zip | 07306-0440
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Country | US
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Telephone | 201-653-0022
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Fax | 201-653-0443
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSSIE E CARPIO
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Credential |
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Telephone | 201-653-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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