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General NPI Number Information
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NPI Number | 1285165209
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Entity Type | Organization
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Legal Business Name | HACKENSACK MERIDIAN URGENT CARE, PC
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 315 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2517
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Country | US
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Telephone | 888-878-1503
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 CAMPUS PKWY
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07753-6821
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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 | DIRECTOR
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Name | JAMES CLARKE
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Credential | M.D.
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Telephone | 732-414-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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