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General NPI Number Information
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NPI Number | 1699699132
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Entity Type | Organization
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Legal Business Name | AME MEDICAL CONSULTANT, LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 38 OLYMPIC TER
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City | IRVINGTON
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State | NJ
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Zip | 07111-1115
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Country | US
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Telephone | 973-865-1389
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 536
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-0536
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY ELIAS
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Credential | DNP
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Telephone | 973-865-1389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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