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General NPI Number Information
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NPI Number | 1083761399
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Entity Type | Organization
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Legal Business Name | MERCER STREET FRIENDS CENTER
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 7 DUNMORE AVE
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City | EWING
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State | NJ
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Zip | 08618-1937
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Country | US
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Telephone | 609-396-1505
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Fax | 609-989-7157
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Provider Business Mailing Address
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Address Line | 7 DUNMORE AVE
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City | EWING
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State | NJ
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Zip | 08618-1937
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Country | US
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Telephone | 609-396-1505
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Fax | 609-989-7157
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Authorized Official
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Title or Position | ADMINISTRATOR, FRIENDS HOME HEALTH
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Name | MS. MARY JANE DARBEE
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Credential | RN BSN
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Telephone | 609-396-1505
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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 | 71103
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License Number State | NJ
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