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General NPI Number Information
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NPI Number | 1235330697
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Entity Type | Organization
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Legal Business Name | COUNTY OF BERGEN - SENIOR CARE CENTER
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 327 EAST RIDGEWOOD AVENUE
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City | PARAMUS
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State | NJ
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Zip | 07652-4895
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Country | US
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Telephone | 201-634-2820
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Fax | 201-599-6270
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Provider Business Mailing Address
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Address Line | 327 EAST RIDGEWOOD AVENUE
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City | PARAMUS
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State | NJ
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Zip | 07652-4895
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Country | US
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Telephone | 201-634-2820
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Fax | 201-599-6270
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Authorized Official
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Title or Position | FISCAL OPERATIONS OFFICER
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Name | MR. GREGORY CONDAL
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Credential |
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Telephone | 201-634-2680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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