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General NPI Number Information
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NPI Number | 1336141266
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Entity Type | Organization
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Legal Business Name | MOORESTOWN VISITING NURSE ASSOCIATION INC
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 300 HARPER DR
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3208
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Country | US
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Telephone | 856-552-1300
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Fax | 856-552-1314
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Provider Business Mailing Address
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Address Line | 300 HARPER DR
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3208
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Country | US
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Telephone | 856-552-1300
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Fax | 856-552-1314
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Authorized Official
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Title or Position | CFO
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Name | MS. KATHLEEN A MILLER
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Credential |
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Telephone | 856-552-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 23035
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License Number State | NJ
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