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General NPI Number Information
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NPI Number | 1669663415
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Entity Type | Organization
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Legal Business Name | PATERSON COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 227 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07501-2002
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Country | US
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Telephone | 973-278-2600
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Fax | 973-278-0588
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Provider Business Mailing Address
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Address Line | 32 CLINTON ST
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City | PATERSON
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State | NJ
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Zip | 07522-1775
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Country | US
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Telephone | 973-790-6594
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Fax | 973-790-7703
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Authorized Official
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Title or Position | CEO
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Name | MR. BEVAN K BAKER
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Credential | FACHE
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Telephone | 973-790-6594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 82304
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License Number State | NJ
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