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General NPI Number Information
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NPI Number | 1184337867
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Entity Type | Organization
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Legal Business Name | GODDARD HOME HEALTH CARE
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1105 SUNSET RD STE C
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City | BURLINGTON
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State | NJ
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Zip | 08016-2290
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Country | US
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Telephone | 609-540-7522
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Fax | 609-623-2007
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Provider Business Mailing Address
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Address Line | 4 QUINCY MANOR LN
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City | BURLINGTON
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State | NJ
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Zip | 08016-5116
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Country | US
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Telephone | 609-540-7522
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Fax | 609-623-2007
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Authorized Official
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Title or Position | MANAGER
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Name | ALBERT GIPLE
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Credential |
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Telephone | 609-540-7522
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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