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General NPI Number Information
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NPI Number | 1962987073
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Entity Type | Organization
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Legal Business Name | CITY MEDICAL OF NEW JERSEY, PC
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 683 ROUTE 18
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3721
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Country | US
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Telephone | 848-206-0091
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Fax | 848-206-0097
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Provider Business Mailing Address
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Address Line | 1345 RXR PLZ FL 13
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City | UNIONDALE
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State | NY
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Zip | 11556-1301
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Country | US
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Telephone | 516-453-0435
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Fax | 646-846-3283
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARLENA SIMPSON
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Credential | CPMSM
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Telephone | 516-786-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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