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General NPI Number Information
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NPI Number | 1073874590
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Entity Type | Organization
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Legal Business Name | OWIN EXPRESS HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 276 WILDFLOWER LN
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4873
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Country | US
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Telephone | 973-333-8402
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Fax | 973-653-3539
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Provider Business Mailing Address
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Address Line | 276, WILDFLOWER LANE
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 973-333-8402
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Fax | 973-653-3539
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. UHUNOMA SUNNY EWERE
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Credential | MPA
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Telephone | 908-265-0164
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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 | HP0147500
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License Number State | NJ
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