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General NPI Number Information
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NPI Number | 1801104708
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Entity Type | Organization
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Legal Business Name | RDH MEDICAL HEALTHCARE SOLUTIONS, PA
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 257 E MAIN ST
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City | SMITHTOWN
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State | NY
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Zip | 11787-2807
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Country | US
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Telephone | 631-724-4664
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Fax |
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Provider Business Mailing Address
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Address Line | 492C CEDAR LANE PO BOX 231
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City | TEANECK
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State | NJ
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Zip | 07666
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Country | US
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Telephone | 163-172-4466
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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. RICHARD HAMBURG
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Credential | MD
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Telephone | 16317244664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 59D701
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License Number State | NJ
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