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General NPI Number Information
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NPI Number | 1508753492
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Entity Type | Organization
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Legal Business Name | ONE BERGEN HEALTH PC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 136 N WASHINGTON AVE STE 203
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1776
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Country | US
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Telephone | 551-502-5377
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Fax |
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Provider Business Mailing Address
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Address Line | 230 E RIDGEWOOD AVE
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City | PARAMUS
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State | NJ
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Zip | 07652-4142
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Country | US
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Telephone | 201-967-4000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER AWWAD
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Credential | DO
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Telephone | 662-665-1359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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