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General NPI Number Information
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NPI Number | 1306656780
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Entity Type | Organization
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Legal Business Name | NOUVELLE HEALTH
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 3 THORN TER
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3521
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Country | US
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Telephone | 973-868-8751
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Fax |
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Provider Business Mailing Address
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Address Line | 3 THORN TER
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3521
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Country | US
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Telephone | 973-868-8751
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | DR. DORATHY OKEKE-OKICHE
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Credential | DBA
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Telephone | 973-868-8751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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