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General NPI Number Information
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NPI Number | 1417655291
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Entity Type | Organization
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Legal Business Name | HEARTEN
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 2275 WHITEHORSE MERCERVILLE RD STE 3
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City | HAMILTON
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State | NJ
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Zip | 08619-2643
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Country | US
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Telephone | 732-333-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 10 NEWBERRY CT
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5402
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Country | US
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Telephone | 908-216-8357
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AVI WEINSTEIN
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Credential |
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Telephone | 908-216-8357
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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