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General NPI Number Information
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NPI Number | 1366517864
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Entity Type | Organization
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Legal Business Name | NEW JERSEY VETERANS MEMORIAL HOME
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 524 N WEST BLVD
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City | VINELAND
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State | NJ
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Zip | 08360-2845
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Country | US
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Telephone | 856-405-4344
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Fax | 856-794-5712
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Provider Business Mailing Address
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Address Line | 524 N WEST BLVD
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City | VINELAND
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State | NJ
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Zip | 08360-2845
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Country | US
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Telephone | 856-405-4344
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Fax | 856-794-5712
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Authorized Official
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Title or Position | STAFF PHYSCIAN
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Name | DR. ALEJANDRO F ALMARIO
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Credential | MD
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Telephone | 856-405-4344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 25MA02942200
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License Number State | NJ
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