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General NPI Number Information
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NPI Number | 1457859860
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Entity Type | Organization
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Legal Business Name | HEALTH CLOUD DIAGNOSTICS
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 25 AMITY ST
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-1018
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Country | US
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Telephone | 800-889-0003
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Fax | 800-889-0003
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Provider Business Mailing Address
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Address Line | 47 LINDEN AVE
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-2306
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Country | US
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Telephone | 908-377-1298
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Fax |
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Authorized Official
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Title or Position | C.O.O.
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Name | MICHAEL SIKORA
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Credential |
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Telephone | 800-889-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0271300
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License Number State | NJ
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