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General NPI Number Information
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NPI Number | 1033930185
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Entity Type | Organization
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Legal Business Name | AUTRIS HEALTHCARE LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 271 MOUNT PLEASANT AVE STE 4
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4159
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Country | US
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Telephone | 908-642-8169
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MADISON AVE STE 400
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7397
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS PARTNER
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Name | GREGORY SUPRIS
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Credential |
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Telephone | 908-642-8169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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