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General NPI Number Information
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NPI Number | 1306540620
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Entity Type | Organization
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Legal Business Name | DIMER HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 4 HAMPSHIRE DR
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City | MENDHAM
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State | NJ
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Zip | 07945-2004
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Country | US
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Telephone | 973-464-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HAMPSHIRE DR
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City | MENDHAM
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State | NJ
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Zip | 07945-2004
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Country | US
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Telephone | 973-464-8363
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CAROLINE HODGE
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Credential | PA
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Telephone | 973-464-8363
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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