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General NPI Number Information
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NPI Number | 1104625714
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Entity Type | Organization
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Legal Business Name | GREAT DIRECT CARE INC
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 145 BEAR XING
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City | MOUNT JULIET
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State | TN
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Zip | 37122-4683
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Country | US
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Telephone | 732-729-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 4 SCOTT DR
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City | MONROE
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State | NJ
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Zip | 08831-3543
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RUSHIK PATEL
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Credential |
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Telephone | 732-429-2150
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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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