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General NPI Number Information
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NPI Number | 1376528224
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Entity Type | Organization
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Legal Business Name | VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC.
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 155 N DEAN ST STE 2C
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2524
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Country | US
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Telephone | 201-894-3333
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Fax | 201-894-1710
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Provider Business Mailing Address
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Address Line | 23 MAIN ST STE D1
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City | HOLMDEL
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State | NJ
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Zip | 07733-2136
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Country | US
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Telephone | 732-224-6914
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Fax | 732-784-9710
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | PETER GAYLORD
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Credential |
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Telephone | 800-862-3330
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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 | 22745
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 22250
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License Number State | NJ
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