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General NPI Number Information
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NPI Number | 1457860983
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Entity Type | Organization
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Legal Business Name | ROBINSON FAMILY CARE PROFESSIONAL
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2040 MILLBURN AVE STE 305
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3716
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Country | US
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Telephone | 973-419-3942
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 MILLBURN AVE STE 305
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3716
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Country | US
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Telephone | 973-419-3942
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Fax |
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Authorized Official
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Title or Position | AREA DIRECTOR
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Name | MR. JOHN KISS ROBINSON
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Credential | OWNER
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Telephone | 973-419-3942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HP0263000
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License Number State | NJ
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