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General NPI Number Information
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NPI Number | 1285805929
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Entity Type | Organization
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Legal Business Name | AHS HOSPITAL CORP
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 120 DORSA AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1003
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Country | US
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Telephone | 973-535-3920
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Fax | 973-535-3920
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Provider Business Mailing Address
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Address Line | 99 BEAUVOIR AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-522-2223
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Fax | 908-522-0660
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Authorized Official
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Title or Position | PHCY MANG
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Name | GENE RADER
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Credential | RPH
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Telephone | 902-522-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 28RS00554400
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License Number State | NJ
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