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General NPI Number Information
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NPI Number | 1134790629
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Entity Type | Organization
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Legal Business Name | CARISK SPECIALTY SERVICES, LLC
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 1901 STATE ROUTE 71 STE 2D
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City | WALL
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State | NJ
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Zip | 07719-3277
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Country | US
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Telephone | 973-451-9415
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 STATE ROUTE 71 STE 2D
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City | WALL
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State | NJ
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Zip | 07719-3277
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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 | PARALEGAL
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Name | LANELLE ANNE PICINICH
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Credential |
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Telephone | 973-451-2627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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