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General NPI Number Information
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NPI Number | 1881742542
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Entity Type | Organization
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Legal Business Name | HUDSON PRIMARY CARE ASSOCIATES,LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 1265 PATERSON PLANK RD
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City | SECAUCUS
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State | NJ
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Zip | 07094-3242
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Country | US
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Telephone | 201-348-8828
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Fax | 201-348-0026
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Provider Business Mailing Address
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Address Line | 1265 PATERSON PLANK RD
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City | SECAUCUS
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State | NJ
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Zip | 07094-3242
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Country | US
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Telephone | 201-348-8828
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Fax | 201-348-0026
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANTHONY V RAFFAELLI
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Credential | M.D.
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Telephone | 201-948-8828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA36099
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA42512
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License Number State | NJ
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