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General NPI Number Information
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NPI Number | 1174980049
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Entity Type | Organization
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Legal Business Name | HUDSON HEALTH GROUP INC.
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Dates
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Enumeration Date | 01/24/2016
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Last Update Date | 01/24/2016
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Provider Practice Location Address
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Address Line | 596 ANDERSON AVE STE 104
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-1888
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Country | US
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Telephone | 855-696-2358
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Fax | 973-852-3696
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Provider Business Mailing Address
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Address Line | 596 ANDERSON AVE STE 104
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-1888
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Country | US
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Telephone | 855-696-2358
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Fax | 973-852-3696
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Authorized Official
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Title or Position | MANAGER
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Name | ALEXEY SAKACH
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Credential |
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Telephone | 855-696-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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