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General NPI Number Information
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NPI Number | 1487169264
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Entity Type | Organization
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Legal Business Name | JERSEY FIRST HOMECARE LLC
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Dates
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Enumeration Date | 12/03/2017
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 386 TOTOWA RD
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City | TOTOWA
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State | NJ
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Zip | 07512-2027
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Country | US
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Telephone | 862-257-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 386 TOTOWA RD STE B
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City | TOTOWA
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State | NJ
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Zip | 07512-2059
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Country | US
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Telephone | 862-257-3444
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Fax | 862-239-9812
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | LORELEI ZORRILLA
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Credential |
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Telephone | 862-257-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01069400
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License Number State | NJ
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