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General NPI Number Information
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NPI Number | 1902552862
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Entity Type | Organization
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Legal Business Name | HOLY MEDICAL CARE
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1-147 CEDAR LANE
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City | TEANECK
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State | NJ
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Zip | 07666
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Country | US
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Telephone | 201-920-6222
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Fax | 201-768-2310
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Provider Business Mailing Address
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Address Line | 2-125 HUDSON AVE
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City | RIDGEFIELD PARK
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State | NJ
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Zip | 07666
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Country | US
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Telephone | 201-920-6222
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Fax | 201-768-2310
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ASHRAF SHAKER
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Credential | MD
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Telephone | 201-920-6222
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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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