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General NPI Number Information
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NPI Number | 1316943004
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Entity Type | Organization
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Legal Business Name | VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 301 LIPPINCOTT DR FL 2
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-581-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR FL 2
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-581-7200
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Fax |
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Authorized Official
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Title or Position | VP FOR FINANCE
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Name | MR. GERRY LOWE II
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Credential |
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Telephone | 856-355-0604
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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 | 22371
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License Number State | NJ
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