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General NPI Number Information
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NPI Number | 1306895057
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Entity Type | Organization
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Legal Business Name | ROBERT WOOD JOHNSON UH INC.
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 ROBERT WOOD JOHNSON PL
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1928
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Country | US
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Telephone | 732-828-3000
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Fax | 732-828-9198
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Provider Business Mailing Address
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Address Line | 1 ROBERT WOOD JOHNSON PL
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1928
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Country | US
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Telephone | 732-828-3000
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Fax | 732-828-9198
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLIFTON R LACY
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Credential | MD
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Telephone | 732-828-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 22235
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License Number State | NJ
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