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General NPI Number Information
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NPI Number | 1194334680
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Entity Type | Organization
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Legal Business Name | GOODWILL CARING HEALTHCARE SERVICES
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 2 CLERICO LN
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1620
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Country | US
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Telephone | 732-325-1583
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CLERICO LN
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1620
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Country | US
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Telephone | 732-325-1683
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Fax |
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Authorized Official
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Title or Position | CEO/DIRECTOR OF NURSING
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Name | DORA GOODWILL
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Credential | RN, MSN
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Telephone | 732-325-1683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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