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General NPI Number Information
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NPI Number | 1497062343
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Entity Type | Organization
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Legal Business Name | STAY WELL SERVICES, INC.
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 38-34 WILSON ST
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City | FAIR LAWN
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State | NJ
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Zip | 07410-4906
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Country | US
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Telephone | 781-718-8472
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Fax |
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Provider Business Mailing Address
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Address Line | 38-34 WILSON ST
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City | FAIR LAWN
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State | NJ
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Zip | 07410-4906
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STELLA KREMENCHUGSKY
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Credential |
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Telephone | 781-718-8472
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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 |
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License Number State |
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