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General NPI Number Information
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NPI Number | 1144326075
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Entity Type | Organization
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Legal Business Name | SOMERSET WALK-IN CLINIC, P.C.
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 64 S MAIN ST
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City | MANVILLE
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State | NJ
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Zip | 08835-1864
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Country | US
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Telephone | 908-685-8000
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Fax | 908-232-3732
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Provider Business Mailing Address
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Address Line | 64 S MAIN ST
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City | MANVILLE
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State | NJ
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Zip | 08835-1864
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Country | US
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Telephone | 908-685-8000
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Fax | 908-232-3732
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SUKHDEV AMARNANI
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Credential | M.D.
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Telephone | 908-685-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 25MA070959
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License Number State | NJ
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