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General NPI Number Information
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NPI Number | 1306094487
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Entity Type | Organization
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Legal Business Name | P3 ENTERPRISES, LLC DBA HOME HELPERS
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 258 W 5TH AVE
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City | ROSELLE
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State | NJ
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Zip | 07203-1140
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Country | US
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Telephone | 908-259-1919
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Fax | 908-259-9778
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Provider Business Mailing Address
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Address Line | 579B RARITAN RD SUITE 120
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City | ROSELLE
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State | NJ
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Zip | 07203-2473
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Country | US
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Telephone | 908-259-1919
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Fax | 908-259-9778
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEO CHEVELLE FREEMAN
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Credential |
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Telephone | 908-239-1919
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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 | TP0330000
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License Number State | NJ
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