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General NPI Number Information
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NPI Number | 1326461518
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Entity Type | Organization
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Legal Business Name | SLUEUE LLC
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 9 HOMESTEAD DR
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City | PEMBERTON
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State | NJ
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Zip | 08068-1570
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Country | US
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Telephone | 973-801-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 9 HOMESTEAD DRIVE
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City | PEMBERTON
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State | NJ
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Zip | 08068
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Country | US
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Telephone | 973-801-2411
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MISS JOAN M JONES
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Credential | RN
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Telephone | 973-801-2411
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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 | 04005043-10
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 04005043-10
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 04005043-10
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License Number State | NJ
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