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General NPI Number Information
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NPI Number | 1376246835
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Entity Type | Organization
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Legal Business Name | DORADO MULTICARE
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 2 DEAN DR
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City | TENAFLY
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State | NJ
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Zip | 07670-2765
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Country | US
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Telephone | 201-596-7246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2613
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City | SECAUCUS
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State | NJ
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Zip | 07096-2613
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Country | US
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Telephone | 973-546-3000
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Fax | 973-546-4111
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Authorized Official
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Title or Position | MEDICAL BILLING ADMIN
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Name | VIVIAN VEGA
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Credential |
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Telephone | 862-247-5015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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