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General NPI Number Information
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NPI Number | 1336967082
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Entity Type | Organization
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Legal Business Name | RIVERWALK HEALTHCARE STAFFING, LLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 233 MOUNT AIRY RD STE 100
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-2338
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Country | US
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Telephone | 908-427-0427
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Fax |
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Provider Business Mailing Address
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Address Line | 233 MOUNT AIRY RD STE 100
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-2338
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Country | US
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Telephone | 908-427-0427
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICE KIBE
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Credential |
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Telephone | 908-303-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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