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General NPI Number Information
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NPI Number | 1396603817
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Entity Type | Organization
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Legal Business Name | BLOOM MEDICAL GROUP NJ PC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 9 TOQUET STEET
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City | HASKELL
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State | NJ
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Zip | 07420
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Country | US
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Telephone | 201-474-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CAMPUS DR STE 105
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City | PARSIPPANY
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State | NJ
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Zip | 07054-4409
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Country | US
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Telephone | 201-474-7333
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Fax |
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | GABRIEL P SALAS
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Credential |
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Telephone | 201-474-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2278P1005X
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Taxonomy Name | Pulmonary Rehabilitation Certified Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1002X
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Taxonomy Name | Physician Nutrition Specialist (Internal Medicine)
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License Number |
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License Number State |
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