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General NPI Number Information
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NPI Number | 1154592459
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 484 S BREWSTER RD
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City | VINELAND
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State | NJ
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Zip | 08361-7874
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Country | US
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Telephone | 856-691-3300
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Fax | 856-794-7183
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Provider Business Mailing Address
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Address Line | 14 N PEARL ST
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City | BRIDGETON
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State | NJ
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Zip | 08302-1902
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Country | US
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Telephone | 856-691-3300
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Fax | 856-794-7183
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | JAMES C EDWARDS
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Credential |
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Telephone | 856-451-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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