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General NPI Number Information
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NPI Number | 1265680912
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Entity Type | Organization
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Legal Business Name | HAMILTON TRENTON URGENT CARE CENTER, LLC
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Dates
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Enumeration Date | 09/07/2008
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1254 S BROAD ST
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City | TRENTON
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State | NJ
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Zip | 08610-6256
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Country | US
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Telephone | 609-218-5637
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Fax | 609-218-5639
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Provider Business Mailing Address
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Address Line | 1254 S BROAD ST
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City | TRENTON
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State | NJ
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Zip | 08610-6256
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Country | US
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Telephone | 609-212-4404
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Fax | 609-341-9086
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Authorized Official
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Title or Position | ADMIN. DIRECTOR
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Name | DR. GABRIEL O OZONUWE
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Credential | DR. OF MED./ DC/PAC/
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Telephone | 609-212-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 25MA05212700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 25MP00019100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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