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General NPI Number Information
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NPI Number | 1487956660
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Entity Type | Organization
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Legal Business Name | MHA LLC
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 55 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2977
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Country | US
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Telephone | 201-392-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2977
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Country | US
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Telephone | 201-392-3200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD LIPSKY
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Credential | M.D.
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Telephone | 201-968-1055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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