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General NPI Number Information
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NPI Number | 1376819060
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Entity Type | Organization
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Legal Business Name | MERCIMEE HEALTH CARE SERVICE
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 312 MYRTLE AVE APT 203
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City | NEPTUNE
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State | NJ
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Zip | 07753-4685
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Country | US
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Telephone | 732-688-5876
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Fax | 732-984-7817
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Provider Business Mailing Address
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Address Line | 312 MYRTLE AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-4682
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Country | US
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Telephone | 732-688-5876
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Fax | 732-984-7817
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. PATRICIA W BOONE
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Credential |
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Telephone | 732-984-7817
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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 | 0001084
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License Number State | NJ
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