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General NPI Number Information
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NPI Number | 1265525679
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Entity Type | Organization
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Legal Business Name | PALISADE HEALTH ASSOCIATES, P A
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 769 RIVER RD
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City | NEW MILFORD
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State | NJ
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Zip | 07646-3030
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Country | US
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Telephone | 201-261-0255
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Fax |
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Provider Business Mailing Address
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Address Line | 107 VAN BUREN DR
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City | PARAMUS
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State | NJ
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Zip | 07652-1337
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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 | PRESIDENT/ OWNER
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Name | MICHAEL CHANG
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Credential | MD
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Telephone | 212-255-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA05823900
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License Number State | NJ
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