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General NPI Number Information
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NPI Number | 1861826919
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL SERVICES PC
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 583 BROADWAY 2ND FLOOR
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City | PATERSON
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State | NJ
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Zip | 07514-2517
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Country | US
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Telephone | 973-653-5686
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Fax |
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Provider Business Mailing Address
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Address Line | 583 BROADWAY 2ND FLOOR
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City | PATERSON
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State | NJ
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Zip | 07514-2517
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Country | US
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Telephone | 973-653-5686
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAMES R CLIFFORD
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Credential | M.D.
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Telephone | 973-653-5686
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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 |
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License Number State |
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