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General NPI Number Information
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NPI Number | 1447711841
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Entity Type | Organization
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Legal Business Name | THEOSMY HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 20 COMMERCE DR
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City | CRANFORD
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State | NJ
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Zip | 07016-3612
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Country | US
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Telephone | 908-590-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 20 COMMERCE DR STE 135
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City | CRANFORD
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State | NJ
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Zip | 07016-3614
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Country | US
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Telephone | 908-590-0933
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | NAOMIE FILSAIME
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Credential |
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Telephone | 908-590-0933
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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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