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General NPI Number Information
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NPI Number | 1952636763
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Entity Type | Organization
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Legal Business Name | COMCARE MEDICAL CENTER LLC
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 10/12/2009
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Provider Practice Location Address
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Address Line | 1000 S BURNT MILL RD STE B
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City | VOORHEES
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State | NJ
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Zip | 08043-2215
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Country | US
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Telephone | 856-795-5952
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Fax | 856-795-5951
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Provider Business Mailing Address
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Address Line | 1000 S BURNT MILL RD STE B
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City | VOORHEES
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State | NJ
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Zip | 08043-2215
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Country | US
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Telephone | 856-795-5952
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Fax | 856-795-5951
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Authorized Official
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Title or Position | SOLE MEMBER, OWNER
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Name | TUSHAR C CHAUHAN
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Credential | MD
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Telephone | 856-795-5952
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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 | NJ
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