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General NPI Number Information
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NPI Number | 1689726424
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Entity Type | Organization
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Legal Business Name | SURGICARE SURGICAL ASSOCIATES OF ENGLEWOOD CLIFFS LLC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 630 PALISADE AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-1842
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Country | US
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Telephone | 201-503-1522
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Fax | 201-503-1514
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Provider Business Mailing Address
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Address Line | 85 HARRISTOWN RD
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City | GLEN ROCK
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State | NJ
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Zip | 07452-3307
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Country | US
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Telephone | 201-834-1100
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Fax | 201-599-0777
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN HAJJAR
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Credential | MD
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Telephone | 201-503-1522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | NJ
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