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General NPI Number Information
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NPI Number | 1750521290
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Entity Type | Organization
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Legal Business Name | NOVA MEDICAL
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 424 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2645
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Country | US
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Telephone | 973-340-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 424 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011
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Country | US
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Telephone | 973-340-3700
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Fax |
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Authorized Official
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Title or Position | M.A. MNGR
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Name | MARISOL PEREZ
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Credential |
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Telephone | 973-340-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number |
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License Number State |
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