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General NPI Number Information
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NPI Number | 1902108509
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Entity Type | Organization
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Legal Business Name | FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 91-101 HARTFORD ST
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City | NEWARK
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State | NJ
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Zip | 07103-2833
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Country | US
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Telephone | 973-643-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 91-101 HARTFORD ST
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City | NEWARK
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State | NJ
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Zip | 07103-2833
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Country | US
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Telephone | 973-643-5404
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. MARGARET MILFORT
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Credential | MSN, APN-C
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Telephone | 908-241-0453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00156900
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License Number State | NJ
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