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General NPI Number Information
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NPI Number | 1396037149
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Entity Type | Organization
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Legal Business Name | HOLY NAME MEDICAL CENTER
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 12 W SADDLE RIVER RD
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City | SADDLE RIVER
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State | NJ
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Zip | 07458-3213
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Country | US
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Telephone | 551-248-4800
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Fax | 201-357-8216
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Provider Business Mailing Address
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Address Line | 718 TEANECK RD
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City | TEANECK
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State | NJ
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Zip | 07666-4245
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Country | US
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Telephone | 201-227-6055
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Fax | 201-530-7900
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Authorized Official
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Title or Position | CFO
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Name | DOUGLAS A ZEHNER
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Credential |
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Telephone | 973-926-6982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 02C011
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License Number State | NJ
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