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General NPI Number Information
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NPI Number | 1124801048
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Entity Type | Organization
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Legal Business Name | PRECIOUS GEMS HOMECARE
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 335 S ROUTE 73
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City | HAMMONTON
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State | NJ
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Zip | 08037-2400
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Country | US
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Telephone | 516-669-4581
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Fax | 609-481-2546
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Provider Business Mailing Address
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Address Line | 335 S ROUTE 73
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City | HAMMONTON
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State | NJ
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Zip | 08037-2400
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Country | US
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Telephone | 516-669-4581
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Fax | 609-481-2546
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Authorized Official
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Title or Position | CEO/DIRECTOR OF NURSING
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Name | MS. URLIEN FRANCINA BOLDEWIJN
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Credential | RN
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Telephone | 516-669-4581
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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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