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General NPI Number Information
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NPI Number | 1396296547
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Entity Type | Organization
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Legal Business Name | SAFE CARE HEALTH LLC
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 2333 WHITEHORSE MERCERVILLE RD STE A
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City | HAMILTON
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State | NJ
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Zip | 08619-1946
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Country | US
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Telephone | 647-680-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ENFIELD DR
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-5501
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Country | US
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Telephone | 609-490-0555
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Fax |
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Authorized Official
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Title or Position | MEMEBER
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Name | EHTESHAM H MOHAMMED
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Credential | MD
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Telephone | 647-680-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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