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General NPI Number Information
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NPI Number | 1174961189
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST PRIMARY PHYSICIANS LLC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 1910 HIGHWAY 35 SOUTH
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City | OAKHURST
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State | NJ
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Zip | 07755-2715
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Country | US
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Telephone | 732-531-4747
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Fax | 732-663-0044
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Provider Business Mailing Address
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Address Line | 1803 HIGHWAY 35 SOUTH
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City | OAKHURST
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State | NJ
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Zip | 07755-2700
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Country | US
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Telephone | 732-531-0100
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Fax | 732-531-0144
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD A MOJARES
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Credential | MD
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Telephone | 732-531-0100
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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 | 25MA07213400
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License Number State | NJ
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