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General NPI Number Information
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NPI Number | 1417016189
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Entity Type | Organization
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Legal Business Name | R & D HEALTH MANAGEMENT, INC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 FIFTH AVENUE
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City | HASKELL
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State | NJ
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Zip | 07420-1075
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Country | US
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Telephone | 973-839-6000
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Fax | 973-839-7145
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Provider Business Mailing Address
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Address Line | 25 FIFTH AVENUE
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City | HASKELL
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State | NJ
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Zip | 07420-1075
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Country | US
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Telephone | 973-839-6000
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Fax | 973-839-7145
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Authorized Official
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Title or Position | EXEC VP
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Name | MR. DAVID E RUCK
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Credential |
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Telephone | 973-839-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 061621
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License Number State | NJ
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