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General NPI Number Information
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NPI Number | 1952142127
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 20 N COUNTY LINE RD
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City | JACKSON
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State | NJ
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Zip | 08527-0247
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Country | US
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Telephone | 732-961-8524
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Fax |
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Provider Business Mailing Address
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Address Line | 20 N COUNTY LINE RD
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City | JACKSON
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State | NJ
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Zip | 08527-0247
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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 | AUTHORIZED OFFICIAL
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Name | IDAN BENNY GOLDSTEIN
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Credential |
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Telephone | 732-961-8524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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