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General NPI Number Information
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NPI Number | 1811449911
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Entity Type | Organization
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Legal Business Name | AIM MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 90 RIVERDALE RD SUITE 1
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City | RIVERDALE
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State | NJ
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Zip | 07457-1703
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Country | US
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Telephone | 813-541-6131
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Fax |
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Provider Business Mailing Address
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Address Line | 90 RIVERDALE RD SUITE 1
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City | RIVERDALE
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State | NJ
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Zip | 07457-1703
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Country | US
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Telephone | 813-541-6131
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | VAL JONUZI
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Credential |
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Telephone | 609-641-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00592200
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 25MA08838800
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License Number State | NJ
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