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General NPI Number Information
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NPI Number | 1457514267
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Entity Type | Organization
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Legal Business Name | IRVINGTON DEPARTMENT OF HEALTH AND WELFARE
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 1 CIVIC SQ MUNICIPAL BUILDING - ROOM 107
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City | IRVINGTON
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State | NJ
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Zip | 07111-2412
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Country | US
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Telephone | 973-399-6647
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Fax | 973-416-5676
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Provider Business Mailing Address
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Address Line | 1 CIVIC SQ MUNICIPAL BUILDING - ROOM 107
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City | IRVINGTON
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State | NJ
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Zip | 07111-2412
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Country | US
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Telephone | 973-399-6647
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Fax | 973-416-5676
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Authorized Official
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Title or Position | HO/DIRECTOR
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Name | MS. SANDRA HARRIS
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Credential |
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Telephone | 973-399-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 7317808
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License Number State | NJ
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