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General NPI Number Information
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NPI Number | 1992196570
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Entity Type | Organization
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Legal Business Name | BEST CARE CLINIC PC
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 1225 MCBRIDE AVE # 208
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3812
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Country | US
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Telephone | 201-421-8823
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 MCBRIDE AVE # 208
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3812
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Country | US
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Telephone | 201-421-8823
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HYEO YOUNG PARK
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Credential | PT
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Telephone | 201-421-8823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00899500
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License Number State | NJ
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