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General NPI Number Information
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NPI Number | 1841486958
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Entity Type | Organization
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Legal Business Name | CENTER FOR PRIMARY HEALTHCARE & WELLNESS,INC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 222 NEW RD CENTRAL PARK EAST, #101
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City | LINWOOD
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State | NJ
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Zip | 08221-1299
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Country | US
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Telephone | 609-927-7070
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Fax | 609-927-7105
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Provider Business Mailing Address
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Address Line | 222 NEW RD CENTRAL PARK EAST, #101
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City | LINWOOD
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State | NJ
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Zip | 08221-1299
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Country | US
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Telephone | 609-927-7070
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Fax | 609-927-7105
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANILA AMIN
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Credential | M.D
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Telephone | 609-927-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA44828
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License Number State | NJ
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