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General NPI Number Information
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NPI Number | 1629865597
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Entity Type | Organization
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Legal Business Name | MEDICA PHYSICIAN SERVICES PLLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 162 E ROUTE 59
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City | NANUET
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State | NY
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Zip | 10954-2910
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Country | US
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Telephone | 201-977-2889
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Fax | 201-977-2890
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Provider Business Mailing Address
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Address Line | 351 EVELYN ST FL 3
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City | PARAMUS
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State | NJ
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Zip | 07652-2901
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Country | US
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Telephone | 201-316-5581
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HELENE ANNE MILLER
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Credential | MD
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Telephone | 201-977-2889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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