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General NPI Number Information
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NPI Number | 1366676058
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Entity Type | Organization
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Legal Business Name | MY PRECIOUS HEALTHCARE, LLP SERVICES
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 204 JERRY CT
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City | MANALAPAN
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State | NJ
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Zip | 07726-8386
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Country | US
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Telephone | 732-533-3626
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Fax | 732-761-2274
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Provider Business Mailing Address
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Address Line | 204 JERRY CT
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City | MANALAPAN
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State | NJ
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Zip | 07726-8386
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Country | US
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Telephone | 732-533-3626
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Fax | 732-761-2274
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSALIE GAMBITO
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Credential | RN
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Telephone | 732-533-3626
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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 | HP0126300
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License Number State | NJ
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