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General NPI Number Information
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NPI Number | 1306278908
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Entity Type | Organization
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Legal Business Name | JUST LIKE FAMILY HOMECARE, INC
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 118 WALNUT ST
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-2204
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Country | US
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Telephone | 908-245-2700
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Fax | 908-245-2770
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Provider Business Mailing Address
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Address Line | 118 WALNUT ST
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-2204
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Country | US
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Telephone | 908-245-2700
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Fax | 908-245-2770
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Authorized Official
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Title or Position | OWNER
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Name | AMA BONSU
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Credential |
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Telephone | 908-245-2700
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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 | 0400585123
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License Number State | NJ
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