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General NPI Number Information
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NPI Number | 1497091417
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Entity Type | Organization
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Legal Business Name | MERIDIAN HOSPITALS CORPORATION
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 678 N BEERS ST
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City | HOLMDEL
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State | NJ
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Zip | 07733-1502
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Country | US
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Telephone | 855-267-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 678 N BEERS ST
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City | HOLMDEL
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State | NJ
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Zip | 07733-1502
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Country | US
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Telephone | 855-267-1181
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT - FINANCE
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Name | MARILYN KOCZAN
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Credential |
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Telephone | 732-897-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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