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General NPI Number Information
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NPI Number | 1497266043
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Entity Type | Organization
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Legal Business Name | STARFORWARD LLC
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Dates
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Enumeration Date | 10/22/2017
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Last Update Date | 10/22/2017
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Provider Practice Location Address
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Address Line | 14 OLIVE ST
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City | SALEM
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State | NJ
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Zip | 08079-1722
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Country | US
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Telephone | 856-994-1050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 585
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City | SALEM
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State | NJ
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Zip | 08079-0585
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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 | DIRECTOR OF PROFESSIONAL SERVICES
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Name | BRANDIS SATCHWELL
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Credential | LPN
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Telephone | 856-812-1122
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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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