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General NPI Number Information
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NPI Number | 1104632546
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Entity Type | Organization
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Legal Business Name | CLINICAL HEALTHCARE ASSOCIATES OF NEW JERSEY SPECIALTY PRACTICES PC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1865 ROUTE 70 E STE 220
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2005
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Country | US
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Telephone | 856-429-1519
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Fax | 856-427-0250
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Provider Business Mailing Address
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Address Line | 1865 ROUTE 70 E STE 220
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2005
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Country | US
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Telephone | 856-429-1519
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Fax | 856-427-0250
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Authorized Official
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Title or Position | PAYER ENROLLMENT MANAGER
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Name | STACY GRECO
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Credential |
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Telephone | 223-341-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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