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General NPI Number Information
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NPI Number | 1003212499
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Entity Type | Organization
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Legal Business Name | SDMA, INC. DBA HOME HELPERS
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 141 DORADO DR
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City | DELRAN
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State | NJ
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Zip | 08075-2028
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Country | US
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Telephone | 856-461-1601
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Fax | 856-461-1602
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Provider Business Mailing Address
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Address Line | 141 DORADO DR
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City | DELRAN
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State | NJ
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Zip | 08075-2028
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Country | US
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Telephone | 856-461-1601
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Fax | 856-461-1602
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Authorized Official
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Title or Position | OWNER
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Name | DONNA M GORDON
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Credential |
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Telephone | 856-461-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0076500
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License Number State | NJ
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