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General NPI Number Information
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NPI Number | 1770389421
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Entity Type | Organization
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Legal Business Name | SUSSEX SURGICAL SOLUTIONS
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 100 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 13 PINE HOLLOW CT
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City | OAK RIDGE
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State | NJ
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Zip | 07438-9179
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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 | REGISTERED NURSE FIRST ASSISTANT
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Name | MR. KHALID ROUILLI
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Credential | RN, BSN, CNOR, RNFA
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Telephone | 973-222-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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