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General NPI Number Information
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NPI Number | 1053470047
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Entity Type | Organization
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Legal Business Name | HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 595 COUNTY AVE BLDG 10
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City | SECAUCUS
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State | NJ
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Zip | 07094-2605
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Country | US
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Telephone | 201-319-5252
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Fax | 201-369-5265
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Provider Business Mailing Address
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Address Line | 595 COUNTY AVE BLDG 10
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City | SECAUCUS
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State | NJ
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Zip | 07094-2605
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Country | US
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Telephone | 201-369-5252
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Fax | 201-369-5261
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Authorized Official
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Title or Position | COMPTROLLER
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Name | MR. JOSE R OLAYA
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Credential |
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Telephone | 201-369-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 60908
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License Number State | NJ
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