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General NPI Number Information
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NPI Number | 1588074330
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Entity Type | Organization
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Legal Business Name | MED CARE CONSULTANTS LLC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 4713 CHURCH AVE.
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City | BROOKLYN
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State | NY
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Zip | 11203-3209
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Country | US
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Telephone | 267-694-7608
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Fax | 813-329-0146
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Provider Business Mailing Address
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Address Line | 845 GARDEN ST UNIT 1
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City | HOBOKEN
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State | NJ
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Zip | 07030-4101
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Country | US
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Telephone | 267-694-7608
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Fax | 813-329-0146
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Authorized Official
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Title or Position | MANAGER
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Name | DR. VIGNENDRA ARIYARAJAH
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Credential | M.D.
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Telephone | 267-694-7608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 12205390
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License Number State | NY
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