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General NPI Number Information
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NPI Number | 1942594148
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Entity Type | Organization
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Legal Business Name | ROCKLAND AND BERGEN SURGERY CENTER, LLC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 133 N KINDERKAMACK RD
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City | MONTVALE
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State | NJ
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Zip | 07645-1313
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Country | US
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Telephone | 201-307-4810
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Fax | 201-307-4816
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Provider Business Mailing Address
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Address Line | 133 N KINDERKAMACK RD
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City | MONTVALE
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State | NJ
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Zip | 07645-1313
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Country | US
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Telephone | 201-307-4810
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Fax | 201-307-4816
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JOSEPHINE BLASCZAK
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Credential | RN, MBA, CPC
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Telephone | 609-709-4153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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