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General NPI Number Information
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NPI Number | 1487130654
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Entity Type | Organization
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Legal Business Name | VISITING HOMEMAKER SERVICE OF PASSAIC COUNTY
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 783 RIVERVIEW DRIVE
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City | TOTOWA
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State | NJ
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Zip | 07511-0287
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Country | US
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Telephone | 973-523-1224
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Fax | 973-523-5228
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | TOTOWA
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State | NJ
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Zip | 07511-0287
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Country | US
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Telephone | 973-523-1224
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Fax | 973-523-5228
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DIANE SILBERNAGEL
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Credential | DNP, RN
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Telephone | 973-523-1224
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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 | HPO108500
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License Number State | NJ
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