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General NPI Number Information
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NPI Number | 1467448803
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Entity Type | Organization
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Legal Business Name | CASCADE CORPORATION
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 144 MAGNOLIA DR
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2141
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Country | US
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Telephone | 609-465-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 144 MAGNOLIA DR
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2141
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Country | US
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Telephone | 609-465-7171
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Fax |
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Authorized Official
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Title or Position | LNHA
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Name | JENNIFER HESS
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Credential |
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Telephone | 605-465-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 208300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 060507
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License Number State | NJ
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