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General NPI Number Information
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NPI Number | 1346890084
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Entity Type | Organization
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Legal Business Name | IDEAL HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 09/15/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 100 OVERLOOK CTR
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City | PRINCETON
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State | NJ
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Zip | 08540-7814
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Country | US
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Telephone | 412-482-0594
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Fax |
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Provider Business Mailing Address
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Address Line | 100 OVERLOOK CTR STE 2018
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City | PRINCETON
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State | NJ
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Zip | 08540-7814
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Country | US
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Telephone | 412-482-0594
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IDA MICHEL
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Credential |
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Telephone | 412-482-0594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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