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General NPI Number Information
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NPI Number | 1154110187
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Entity Type | Organization
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Legal Business Name | MADISON INFUSION CENTER
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 105 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4267
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Country | US
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Telephone | 848-240-9904
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Fax |
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Provider Business Mailing Address
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Address Line | 874 BETHEL CHURCH RD
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City | JACKSON
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State | NJ
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Zip | 08527-1712
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Country | US
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Telephone | 347-424-5927
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOSHE REICH
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Credential | FNP
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Telephone | 347-424-5927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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