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General NPI Number Information
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NPI Number | 1174520076
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Entity Type | Organization
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Legal Business Name | VNA HEALTH GROUP OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 80 MAIN STREET - SUITE 300
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4850
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Country | US
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Telephone | 973-243-9666
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Fax | 732-784-9901
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Provider Business Mailing Address
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Address Line | 23 MAIN STREET SUITE D1
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City | HOLMDEL
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State | NJ
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Zip | 07733-2136
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Country | US
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Telephone | 732-224-6914
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Fax | 732-784-9710
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. PETER GAYLORD
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Credential |
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Telephone | 800-862-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 22714,24416,22634
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 24416
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 22634
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 22714
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License Number State | NJ
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