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General NPI Number Information
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NPI Number | 1215181409
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Entity Type | Organization
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Legal Business Name | GREAT IN HOME CARE DBA. HOME HELPERS
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 185 ORLANDO DR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5400
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Country | US
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Telephone | 856-740-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ORLANDO DR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5400
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Country | US
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Telephone | 856-740-0770
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KIMBERLY R WALKER
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Credential |
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Telephone | 856-740-0770
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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 | HP0085200
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License Number State | NJ
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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 | HP0085200
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License Number State | NJ
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