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General NPI Number Information
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NPI Number | 1316434244
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Entity Type | Organization
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Legal Business Name | ENDURING HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 17 CARNATION RD
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City | MONROE
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State | NJ
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Zip | 08831-5336
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Country | US
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Telephone | 609-285-9358
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Fax | 609-448-0271
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Provider Business Mailing Address
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Address Line | 17 CARNATION RD
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City | MONROE
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State | NJ
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Zip | 08831-5336
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Country | US
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Telephone | 609-285-9358
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Fax | 609-448-0271
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Authorized Official
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Title or Position | CEO
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Name | MR. EMMANUEL AHIPUE
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Credential | FNP
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Telephone | 609-285-9358
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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 | 0450251420
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License Number State | NJ
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