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General NPI Number Information
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NPI Number | 1417740291
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Entity Type | Organization
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Legal Business Name | CARROLL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | A53 WOODSIDE GDNS
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-1007
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Country | US
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Telephone | 973-666-2319
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Fax | 973-637-4441
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Provider Business Mailing Address
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Address Line | 6 KILMER RD STE 1118
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City | EDISON
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State | NJ
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Zip | 08817-2432
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Country | US
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Telephone | 973-666-2319
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Fax | 973-637-4441
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT P CARROLL II
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Credential | FNP-BC
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Telephone | 973-666-2319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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