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General NPI Number Information
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NPI Number | 1679529044
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Entity Type | Organization
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Legal Business Name | EAST HUDSON MEDICAL PA
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 1865 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-3502
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Country | US
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Telephone | 908-810-1151
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Fax |
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Provider Business Mailing Address
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Address Line | 250 GORGE RD APT 27J
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-1301
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Country | US
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Telephone | 908-810-1151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUBA KARLIN
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Credential | MD
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Telephone | 908-810-1151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA72077
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License Number State | NJ
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