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General NPI Number Information
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NPI Number | 1457168270
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Entity Type | Organization
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Legal Business Name | CLINICAL HEALTHCARE ASSOCIATES OF NEW JERSEY SPECIALTY PRACTICES PC
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 5 PLAINSBORO RD STE 540
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1915
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Country | US
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Telephone | 609-853-6590
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Fax | 609-853-6581
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Provider Business Mailing Address
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Address Line | 5 PLAINSBORO RD STE 540
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1915
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Country | US
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Telephone | 609-853-6590
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Fax | 609-853-6581
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Authorized Official
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Title or Position | PAYER ENROLLMENT MANAGER
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Name | STACY GRECO
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Credential |
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Telephone | 223-341-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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