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General NPI Number Information
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NPI Number | 1427861053
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Entity Type | Organization
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Legal Business Name | CJS MEDICAL CARE P.C.
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 182 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3318
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Country | US
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Telephone | 845-358-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 182 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3318
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Country | US
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Telephone | 845-358-4000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHUTRUDEE JOY SOMBERG
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Credential | MD
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Telephone | 401-368-8441
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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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