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General NPI Number Information
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NPI Number | 1497063648
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPICE OF BERGEN COUNTY, INC.
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 105 FAIRVIEW AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2223
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Country | US
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Telephone | 201-664-0212
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Fax | 201-664-6888
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Provider Business Mailing Address
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Address Line | 105 FAIRVIEW AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2223
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Country | US
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Telephone | 201-664-0212
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Fax | 201-664-6888
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Authorized Official
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Title or Position | CO-FOUNDER; TRUSTEE; SECRETARY
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Name | MS. WENDY FAITH MEGERMAN
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Credential |
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Telephone | 201-664-0212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | PENDING
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License Number State | NJ
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