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General NPI Number Information
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NPI Number | 1386418655
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Entity Type | Organization
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Legal Business Name | OYSTER HEALTHCARE
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 1219 LIBERTY AVE STE 108
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City | HILLSIDE
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State | NJ
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Zip | 07205-2040
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Country | US
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Telephone | 201-240-2850
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 LIBERTY AVE STE 108
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City | HILLSIDE
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State | NJ
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Zip | 07205-2040
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Country | US
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Telephone | 201-240-2850
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY BOSIRE
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Credential |
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Telephone | 201-240-2850
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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 |
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License Number State |
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