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General NPI Number Information
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NPI Number | 1235004821
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Entity Type | Organization
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Legal Business Name | DDP ACUTE CARE SERVICES PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 279 FERRY ST
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City | NEWARK
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State | NJ
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Zip | 07105-3400
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Country | US
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Telephone | 973-344-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 601 BAYSIDE CT
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-1993
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEEPALI PATEL
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Credential | DO
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Telephone | 201-744-0783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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