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General NPI Number Information
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NPI Number | 1013086586
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN HOMES OF SOUTHERN NEW JERSEY, INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 132 WARWICK RD
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City | HADDONFIELD
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State | NJ
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Zip | 08033-3707
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Country | US
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Telephone | 856-429-5500
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Fax | 856-429-1097
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Provider Business Mailing Address
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Address Line | 13 ROSZEL RD SUITE C120
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City | PRINCETON
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State | NJ
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Zip | 08540-6211
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Country | US
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Telephone | 609-987-8900
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Fax | 609-720-7247
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Authorized Official
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Title or Position | PRESIDENT-CEO
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Name | MR. GARY PUMA
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Credential |
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Telephone | 609-987-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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