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General NPI Number Information
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NPI Number | 1093489726
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Entity Type | Organization
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Legal Business Name | RCH ADVANCED PRACTICE SERVICES LLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 22 FLORIAN CT
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City | MANCHESTER
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State | NJ
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Zip | 08759-6278
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Country | US
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Telephone | 732-773-8540
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Fax | 732-377-5440
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Provider Business Mailing Address
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Address Line | 22 FLORIAN CT
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City | MANCHESTER
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State | NJ
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Zip | 08759-6278
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Country | US
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Telephone | 732-773-8540
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Fax | 732-377-5440
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD HEIMBUCH
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Credential | APN-BC
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Telephone | 732-773-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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