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General NPI Number Information
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NPI Number | 1235713652
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Entity Type | Organization
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Legal Business Name | BAYADA HOME CARE
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 333 DAIRY RD STE 201B
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City | KAHULUI
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State | HI
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Zip | 96732-2449
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Country | US
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Telephone | 808-244-6879
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Fax | 833-520-0079
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Provider Business Mailing Address
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Address Line | 4300 HADDONFIELD RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-3376
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Country | US
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Telephone | 973-909-5159
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DAVID BAIADA
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Credential |
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Telephone | 856-662-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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