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NPI 1235813742

NPI 1235813742 : OAK TREE HEALTHCARE PA : BELLEVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1235813742
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    Entity Type          |    Organization 
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    Legal Business Name  |    OAK TREE HEALTHCARE PA 
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Dates
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    Enumeration Date     |    06/14/2023
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    115 BELMONT AVE 
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    City                 |    BELLEVILLE
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    State                |    NJ
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    Zip                  |    07109-1993
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    Country              |    US
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    Telephone            |    973-310-7000
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    Fax                  |    973-310-6000
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Provider Business Mailing Address
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    Address Line         |    115 BELMONT AVE 
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    City                 |    BELLEVILLE
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    State                |    NJ
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    Zip                  |    07109-1993
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    Country              |    US
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    Telephone            |    973-310-7000
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    Fax                  |    973-310-6000
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MR. HR  MANAGER 
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    Credential           |    
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    Telephone            |    973-000-0000
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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