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General NPI Number Information
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NPI Number | 1023232246
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Entity Type | Organization
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Legal Business Name | HOUSING AUTHORITY OF THE CITY OF MILLVILLE
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 100 RIVERSIDE DR BOX 1-G
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City | MILLVILLE
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State | NJ
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Zip | 08332
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Country | US
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Telephone | 856-825-8869
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Fax | 856-825-8669
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Provider Business Mailing Address
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Address Line | 100 RIVERSIDE DR. BOX 1-G
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City | MILLVILLE
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State | NJ
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Zip | 08332
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Country | US
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Telephone | 856-825-8869
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Fax | 856-293-1294
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BOBBI J. CHARD
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Credential | NJCALA
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Telephone | 856-825-8869
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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 | 25A200
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License Number State | NJ
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