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General NPI Number Information
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NPI Number | 1639596034
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Entity Type | Organization
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Legal Business Name | THE MACALUSO GROUP
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 271 ROUTE 46 W SUITE 201B
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2440
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Country | US
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Telephone | 973-244-9110
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Fax | 973-244-9112
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Provider Business Mailing Address
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Address Line | 271 ROUTE 46 W SUITE 201B
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2440
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Country | US
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Telephone | 973-244-9110
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Fax | 973-244-9112
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Authorized Official
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Title or Position | CHAIRMAN/PRESIDENT
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Name | MR. JOSEPH MACALUSO
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Credential |
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Telephone | 973-244-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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