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General NPI Number Information
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NPI Number | 1083227136
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Entity Type | Organization
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Legal Business Name | CEDAS HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 356 BLOOMFIELD AVE STE 4
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3625
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Country | US
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Telephone | 973-746-0165
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Fax | 973-744-2601
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Provider Business Mailing Address
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Address Line | 356 BLOOMFIELD AVE STE 4
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3625
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Country | US
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Telephone | 973-746-0165
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Fax | 973-744-2601
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Authorized Official
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Title or Position | FOUNDER & PRESIDENT
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Name | MS. CECILE ELIZABETH SUTHERLAND
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Credential | R.N.
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Telephone | 973-746-0165
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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 |
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License Number State |
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