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General NPI Number Information
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NPI Number | 1205791878
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Entity Type | Organization
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Legal Business Name | NEW JERSEY CARDIAC HEALTH MEDICAL GROUP PA
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 189 BERNARDO AVE
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-5138
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Country | US
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Telephone | 855-338-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S MULBERRY ST STE 101
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City | DICKSON
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State | TN
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Zip | 37055-5023
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Country | US
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Telephone | 615-474-3314
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Fax |
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Authorized Official
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Title or Position | CLINICAL OPERATIONS MANAGER
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Name | MR. JEREMY EDWARD HAAG
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Credential | CRAT
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Telephone | 615-474-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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