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NPI 1427904846

NPI 1427904846 : KASEFA CARE LLC : MAPLEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1427904846
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    Entity Type          |    Organization 
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    Legal Business Name  |    KASEFA CARE LLC 
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Dates
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    Enumeration Date     |    03/09/2026
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    Last Update Date     |    03/11/2026
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Provider Practice Location Address
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    Address Line         |    92 BURNETT AVE APT 208 
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    City                 |    MAPLEWOOD
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    State                |    NJ
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    Zip                  |    07040-2983
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    Country              |    US
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    Telephone            |    973-417-8742
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    Fax                  |    973-751-7172
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Provider Business Mailing Address
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    Address Line         |    5 FRANKLIN AVE STE G5 
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    City                 |    BELLEVILLE
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    State                |    NJ
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    Zip                  |    07109-3504
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    Country              |    US
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    Telephone            |    973-417-8742
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    Fax                  |    973-751-7172
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     CHENISA  SANGARE 
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    Credential           |    
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    Telephone            |    973-417-8742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251T00000X
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    Taxonomy Name        |    PACE Provider Organization
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    License Number       |    
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    License Number State |    
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