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NPI 1174993398

NPI 1174993398 : A BETTER CHOICE REHAB AND CONSULTANTS : NEWARK, NJ

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General NPI Number Information
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    NPI Number           |    1174993398
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    Entity Type          |    Organization 
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    Legal Business Name  |    A BETTER CHOICE REHAB AND CONSULTANTS 
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Dates
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    Enumeration Date     |    09/30/2015
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    Last Update Date     |    03/09/2016
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Provider Practice Location Address
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    Address Line         |    56 CLINTON PL 
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    City                 |    NEWARK
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    State                |    NJ
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    Zip                  |    07108-1219
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    Country              |    US
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    Telephone            |    908-868-9109
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    56 CLINTON PL 
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    City                 |    NEWARK
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    State                |    NJ
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    Zip                  |    07108
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    Country              |    US
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    Telephone            |    908-868-9109
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     EDER  CHARLES 
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    Credential           |    OTR/L
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    Telephone            |    908-868-9109
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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       |    46TR00515500
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    License Number State |    NJ
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