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General NPI Number Information
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NPI Number | 1285927442
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH SOLUTIONS PC
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 07/02/2011
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Provider Practice Location Address
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Address Line | 5809 MADISON ST
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1289
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Country | US
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Telephone | 201-770-1370
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Fax |
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Provider Business Mailing Address
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Address Line | 95 CRESCENT DR
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City | RINGWOOD
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State | NJ
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Zip | 07456-1108
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Country | US
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Telephone | 201-770-1370
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT ZWITIASHVILI
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Credential | MD
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Telephone | 973-767-7648
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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 | 4523300
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License Number State | NJ
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