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General NPI Number Information
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NPI Number | 1851514210
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Entity Type | Organization
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Legal Business Name | AGC SERVICES
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 336 PRESIDENT ST
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-6323
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Country | US
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Telephone | 973-928-3428
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Fax |
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Provider Business Mailing Address
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Address Line | 336 PRESIDENT ST
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-6323
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Country | US
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Telephone | 973-928-3428
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT MCGOWAN
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Credential |
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Telephone | 973-928-3428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 35SI00033100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 35SI00033100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 35SI00033100
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License Number State | NJ
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