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General NPI Number Information
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NPI Number | 1487834420
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Entity Type | Organization
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Legal Business Name | JADAR ASSOCIATES LLC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 1122 ROUTE 22 STE 206
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2812
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Country | US
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Telephone | 908-408-5220
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Fax | 908-228-5215
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | POTTERSVILLE
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State | NJ
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Zip | 07979-0036
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Country | US
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Telephone | 908-408-5220
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Fax | 908-228-5215
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | GARY J RAYMOND
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Credential |
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Telephone | 908-408-5220
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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 | HP0078500
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License Number State | NJ
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