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General NPI Number Information
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NPI Number | 1962734087
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE SURGICAL CARE, LLC
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 1 BETHANY RD BUILDING 6 SUITE 91
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City | HAZLET
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State | NJ
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Zip | 07730-1663
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Country | US
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Telephone | 732-888-9400
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Fax | 732-888-0498
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Provider Business Mailing Address
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Address Line | 1 BETHANY RD BUILDING 6 SUITE 91
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City | HAZLET
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State | NJ
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Zip | 07730-1663
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Country | US
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Telephone | 732-888-9400
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Fax | 732-888-0498
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Authorized Official
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Title or Position | OWNER
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Name | HUNG Q NGUYEN
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Credential | MD
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Telephone | 732-888-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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