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General NPI Number Information
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NPI Number | 1063976850
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Entity Type | Organization
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Legal Business Name | MULTICULTURAL MEDICAL OFFICE LLC
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 08/08/2020
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Provider Practice Location Address
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Address Line | 716 BROAD ST STE 1B
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City | CLIFTON
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State | NJ
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Zip | 07013-1645
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Country | US
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Telephone | 603-320-7378
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Fax | 973-777-7132
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Provider Business Mailing Address
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Address Line | 614 BRYANT AVE
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City | TEANECK
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State | NJ
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Zip | 07666-6502
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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 | OWNER
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Name | HELING DILONE-ARELLANO
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Credential | MD
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Telephone | 917-439-1396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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