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General NPI Number Information
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NPI Number | 1962194043
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Entity Type | Organization
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Legal Business Name | FIRSTHAND HEALTH OF NEW JERSEY PC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 55 MADISON AVE STE 400
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7397
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Country | US
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Telephone | 844-378-4263
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Fax | 855-384-1969
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Provider Business Mailing Address
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Address Line | 205 HUDSON ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10013-1836
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Country | US
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Telephone | 844-378-4263
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Fax | 855-384-1969
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Authorized Official
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Title or Position | CHIEF MEDICAL DIRECTOR
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Name | JOSEPH J PARKS
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Credential | MD
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Telephone | 844-378-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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