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General NPI Number Information
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NPI Number | 1205605904
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Entity Type | Organization
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Legal Business Name | AGAPE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 1156 LIBERTY AVE STE C
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City | HILLSIDE
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State | NJ
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Zip | 07205-2142
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Country | US
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Telephone | 908-271-6685
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5847
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City | HILLSIDE
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State | NJ
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Zip | 07205-5847
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HANNAHBEL OBANOR
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Credential |
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Telephone | 908-271-6685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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