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NPI 1073912432

NPI 1073912432 : SILVER BAY SERVICES, INC. : RED BANK, NJ

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General NPI Number Information
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    NPI Number           |    1073912432
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    Entity Type          |    Organization 
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    Legal Business Name  |    SILVER BAY SERVICES, INC. 
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Dates
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    Enumeration Date     |    08/21/2014
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    Last Update Date     |    08/21/2014
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Provider Practice Location Address
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    Address Line         |    3 HARDING RD STE C 
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    City                 |    RED BANK
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    State                |    NJ
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    Zip                  |    07701-2024
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    Country              |    US
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    Telephone            |    732-933-7600
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    Fax                  |    732-450-2442
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Provider Business Mailing Address
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    Address Line         |    PO BOX 805 
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    City                 |    RED BANK
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    State                |    NJ
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    Zip                  |    07701-0805
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    Country              |    US
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    Telephone            |    732-933-7600
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    Fax                  |    732-450-2442
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     DAWN LYNETTE CHANDLER-ROSLANSKY 
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    Credential           |    
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    Telephone            |    732-933-7600
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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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