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General NPI Number Information
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NPI Number | 1114707734
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Entity Type | Organization
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Legal Business Name | MERCER COUNTY HYPERTENSION CLINIC LLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 1345 KUSER RD STE 2
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City | HAMILTON
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State | NJ
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Zip | 08619-3823
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Country | US
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Telephone | 609-585-1344
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8422
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City | TRENTON
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State | NJ
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Zip | 08650-0422
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Country | US
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Telephone | 609-585-1344
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AFSHIN HANNANI
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Credential |
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Telephone | 609-585-1344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0005X
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Taxonomy Name | Hypertension Specialist Physician
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License Number |
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License Number State |
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