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General NPI Number Information
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NPI Number | 1376840801
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Entity Type | Organization
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Legal Business Name | SCULPT SURGICAL, LLC
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 261 JAMES ST STE 1B
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6348
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Country | US
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Telephone | 973-577-6050
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Fax | 973-577-6049
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Provider Business Mailing Address
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Address Line | 24 RUTHVEN PL
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City | SUMMIT
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State | NJ
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Zip | 07901-3621
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Country | US
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Telephone | 917-656-1977
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Fax | 973-577-6049
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MEHUL KAMDAR
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Credential | M.D.
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Telephone | 973-577-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MA08778700
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License Number State | NJ
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