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General NPI Number Information
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NPI Number | 1194972372
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Entity Type | Organization
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Legal Business Name | MER ASSOCIATES LLC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 615-625 MAIN AVE
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City | PASSAIC
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State | NJ
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Zip | 07055
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Country | US
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Telephone | 917-731-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 59 MILL ROAD EXT
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677-8122
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Country | US
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Telephone | 917-731-9930
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MIKHAIL LIPSKY
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Credential |
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Telephone | 917-731-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NJ
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