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General NPI Number Information
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NPI Number | 1659882835
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Entity Type | Organization
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Legal Business Name | HACKENSACK MERIDIAN AMBULATORY CARE, INC.
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 89 AVENUE AT THE CMN
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4579
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Country | US
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Telephone | 732-676-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 HWY 138 BUILDING C SUITE A
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City | WALL
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State | NJ
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Zip | 07719
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Country | US
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Telephone | 732-751-3624
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Fax |
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Authorized Official
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Title or Position | SENIOR FINANCE ADMINISTRATION
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Name | RICHARD HAND
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Credential |
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Telephone | 732-481-8529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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