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General NPI Number Information
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NPI Number | 1700190097
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Entity Type | Organization
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Legal Business Name | ACCELERATED SURGICAL CENTER OF NORTH JERSEY,LLC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 680 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514-1422
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Country | US
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Telephone | 973-225-0723
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Fax | 212-671-1414
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Provider Business Mailing Address
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Address Line | 680 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514-1422
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Country | US
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Telephone | 973-225-0723
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Fax | 212-671-1414
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SAM RAHAT
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Credential |
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Telephone | 347-683-3008
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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 |
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