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General NPI Number Information
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NPI Number | 1033370317
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Entity Type | Organization
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Legal Business Name | STARLIGHT HOME CARE AGENCY, INC
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 160 PEHLE AVE STE 203
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-5227
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Country | US
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Telephone | 201-836-0500
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Fax | 201-836-5301
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Provider Business Mailing Address
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Address Line | 160 PEHLE AVE STE 203
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-5227
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Country | US
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Telephone | 201-836-0500
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Fax | 201-836-5301
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | VICTORIA ZATULOVSKY
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Credential |
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Telephone | 201-836-0500
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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 | HP0153400
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License Number State | NJ
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