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General NPI Number Information
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NPI Number | 1801532965
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Entity Type | Organization
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Legal Business Name | MEDICAL CIRCULATIONS, LLC
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 21 GREGLAWN DR
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City | CLIFTON
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State | NJ
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Zip | 07013-2504
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Country | US
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Telephone | 862-571-0456
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4136 495 ALLWOOD RD.
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City | CLIFTON
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State | NJ
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Zip | 07012-9998
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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 | CEO
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Name | KRISTY MANOOKIAN
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Credential | RN
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Telephone | 862-571-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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