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General NPI Number Information
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NPI Number | 1649151416
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Entity Type | Organization
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Legal Business Name | TRUDOC URGENT CARE
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1187 MAIN AVE STE 1F
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City | CLIFTON
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State | NJ
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Zip | 07011-2252
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Country | US
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Telephone | 973-928-2301
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Fax | 973-910-0991
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Provider Business Mailing Address
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Address Line | 1187 MAIN AVE STE 1F
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City | CLIFTON
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State | NJ
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Zip | 07011-2252
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Country | US
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Telephone | 973-928-2300
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Fax | 973-928-2304
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Authorized Official
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Title or Position | CEO/OWNER
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Name | BASSEL NOUMI
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Credential | MD
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Telephone | 973-928-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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