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General NPI Number Information
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NPI Number | 1255318085
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Entity Type | Organization
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Legal Business Name | DIGESTIVE HEALTHCARE CENTER PA
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 511 COURTYARD DR BUILDING 500
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4255
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Country | US
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Telephone | 908-218-9222
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Fax | 908-218-9818
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Provider Business Mailing Address
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Address Line | 511 COURTYARD DR BUILDING 500
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4255
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Country | US
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Telephone | 908-218-9222
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Fax | 908-218-9818
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KUANDIKA JACK
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Credential |
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Telephone | 908-218-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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