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General NPI Number Information
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NPI Number | 1790985943
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Entity Type | Organization
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Legal Business Name | DR. RENEE HUDECHECK, P. C.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 3800 QUAKERBRIDGE RD SUITE10
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City | HAMILTON
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State | NJ
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Zip | 08619-1010
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Country | US
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Telephone | 609-584-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 QUAKERBRIDGE RD SUITE 10
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City | HAMILTON
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State | NJ
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Zip | 08619-1010
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Country | US
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Telephone | 609-584-9090
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RENEE HUDECHECK
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Credential | O. D.
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Telephone | 609-584-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4627
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License Number State | NJ
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