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NPI 1093481152

NPI 1093481152 : YONDER HEALTH CORPORATION : MORRIS PLAINS, NJ

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General NPI Number Information
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    NPI Number           |    1093481152
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    Entity Type          |    Organization 
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    Legal Business Name  |    YONDER HEALTH CORPORATION 
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Dates
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    Enumeration Date     |    08/19/2021
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    Last Update Date     |    06/09/2023
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Provider Practice Location Address
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    Address Line         |    11 NORTHVIEW DR 
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    City                 |    MORRIS PLAINS
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    State                |    NJ
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    Zip                  |    07950-2012
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    Country              |    US
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    Telephone            |    973-970-8145
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11 NORTHVIEW DR 
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    City                 |    MORRIS PLAINS
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    State                |    NJ
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    Zip                  |    07950-2012
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    Country              |    US
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    Telephone            |    973-865-8021
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CASE MANAGER
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    Name                 |     DIVINA  FRANCISCO 
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    Credential           |    RN, PT
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    Telephone            |    973-865-8021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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