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General NPI Number Information
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NPI Number | 1851445068
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Entity Type | Organization
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Legal Business Name | MAHWAH HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 195 FRANKLIN TPKE
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City | MAHWAH
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State | NJ
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Zip | 07430-1339
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Country | US
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Telephone | 201-828-9290
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Fax | 201-828-9670
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Provider Business Mailing Address
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Address Line | 195 FRANKLIN TPKE STE 9
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City | MAHWAH
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State | NJ
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Zip | 07430-1364
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Country | US
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Telephone | 201-828-9290
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Fax | 201-828-9670
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICH CRAIG EDELSON
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Credential |
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Telephone | 201-828-9290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA007693
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License Number State | NJ
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