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General NPI Number Information
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NPI Number | 1396205787
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Entity Type | Organization
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Legal Business Name | FENNELL & ROWLAND FUNERAL HOME
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 410 MARKET ST
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City | PALMYRA
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State | NJ
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Zip | 08065-2449
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Country | US
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Telephone | 609-220-1031
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Fax | 856-456-1123
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Provider Business Mailing Address
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Address Line | 410 MARKET ST
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City | PALMYRA
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State | NJ
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Zip | 08065-2449
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Country | US
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Telephone | 609-220-1031
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHY DOMBKOWKSI
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Credential |
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Telephone | 856-602-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176P00000X
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Taxonomy Name | Funeral Director
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License Number |
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License Number State |
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