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General NPI Number Information
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NPI Number | 1912891748
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Entity Type | Organization
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Legal Business Name | NUGEN MEDICAL LLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1 RAINTREE CT
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City | HOLMDEL
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State | NJ
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Zip | 07733-2814
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Country | US
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Telephone | 732-200-7662
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Fax | 855-631-0291
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Provider Business Mailing Address
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Address Line | 1 RAINTREE CT
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City | HOLMDEL
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State | NJ
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Zip | 07733-2814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. DHAVAL PATEL
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Credential | PA-C
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Telephone | 732-690-6153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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