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General NPI Number Information
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NPI Number | 1609450071
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Entity Type | Organization
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Legal Business Name | AMS NEW JERSEY LLC
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 317 GEORGE ST STE 320
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2091
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Country | US
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Telephone | 866-787-8219
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Fax |
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Provider Business Mailing Address
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Address Line | 166 HARGRAVES DR # C400-235
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City | AUSTIN
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State | TX
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Zip | 78737-4796
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Country | US
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Telephone | 866-787-8219
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KATHERINE MCCOMMON
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Credential |
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Telephone | 866-787-8219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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