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General NPI Number Information
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NPI Number | 1013982719
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Entity Type | Organization
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Legal Business Name | CITY OF VINELAND-HEALTH
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 610 MONTROSE STREET SUITE 1
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City | VINELAND
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State | NJ
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Zip | 08360-1508
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Country | US
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Telephone | 856-794-4000
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Fax | 856-692-1872
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Provider Business Mailing Address
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Address Line | 640 E. WOOD STREET PO BOX 1508
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City | VINELAND
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State | NJ
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Zip | 08360-1508
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Country | US
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Telephone | 856-794-4000
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Fax | 856-405-4608
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Authorized Official
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Title or Position | MAYOR
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Name | MR. ANTHONY ROMEO FANUCCI
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Credential |
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Telephone | 856-794-4000
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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 | 70601
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License Number State | NJ
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