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General NPI Number Information
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NPI Number | 1083847602
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Entity Type | Organization
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Legal Business Name | BRANDT HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 08/30/2009
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Last Update Date | 08/30/2009
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Provider Practice Location Address
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Address Line | 38 MILLBROOK DR
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2226
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Country | US
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Telephone | 732-687-7157
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Fax | 732-264-3271
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Provider Business Mailing Address
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Address Line | PO BOX 334
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City | HAZLET
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State | NJ
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Zip | 07730-0334
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Country | US
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Telephone | 732-687-7157
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Fax | 732-264-3271
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. JOHN J RAKEBRANDT
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Credential | LPN
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Telephone | 732-687-7157
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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 | 26NP05409300
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License Number State | NJ
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