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General NPI Number Information
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NPI Number | 1083305197
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Entity Type | Organization
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Legal Business Name | COMPLETE MEDICAL AND DIAGNOSTIC CENTER PC
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 126 STATE ST
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City | HACKENSACK
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State | NJ
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Zip | 07601-5448
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Country | US
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Telephone | 877-890-9906
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Fax | 551-298-4564
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Provider Business Mailing Address
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Address Line | 126 STATE ST
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City | HACKENSACK
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State | NJ
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Zip | 07601-5448
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Country | US
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Telephone | 877-890-9906
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Fax | 551-298-4564
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER ZAITSEV
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Credential |
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Telephone | 877-890-9906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology 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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) 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 | 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 #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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