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General NPI Number Information
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NPI Number | 1457673501
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Entity Type | Organization
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Legal Business Name | WINDSORHEALTHCARE MANAGEMENT LLC
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 100 MCCLELLEN ST
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City | NORWOOD
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State | NJ
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Zip | 07648-1555
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Country | US
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Telephone | 908-686-7430
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Fax | 201-886-1195
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Provider Business Mailing Address
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Address Line | 100 MCCLELLEN ST
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City | NORWOOD
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State | NJ
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Zip | 07648-1555
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Country | US
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Telephone | 908-686-7430
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Fax | 201-886-1195
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | HAYMAN JACOBS
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Credential |
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Telephone | 917-693-8330
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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 |
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License Number State | NJ
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