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General NPI Number Information
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NPI Number | 1316089360
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Entity Type | Organization
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Legal Business Name | MCAULEY HALL INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 1633 US HIGHWAY 22
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City | WATCHUNG
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State | NJ
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Zip | 07069-6505
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Country | US
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Telephone | 908-754-3663
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Fax | 908-754-3502
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Provider Business Mailing Address
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Address Line | 1633 HIGHWAY 22 WEST
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City | WATCHUNG
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State | NJ
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Zip | 07069-6588
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Country | US
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Telephone | 908-754-3663
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Fax | 908-754-3502
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY IRENE GORMLEY
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Credential |
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Telephone | 908-754-3663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 061813
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License Number State | NJ
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