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General NPI Number Information
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NPI Number | 1497710800
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Entity Type | Organization
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Legal Business Name | WARREN CO BD OF CHOSEN FREEHOLDER
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 162 E WASHINGTON AVE
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City | WASHINGTON
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State | NJ
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Zip | 07882-1849
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Country | US
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Telephone | 908-689-6000
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Fax | 908-689-9057
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Provider Business Mailing Address
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Address Line | 162 E WASHINGTON AVE
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City | WASHINGTON
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State | NJ
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Zip | 07882-1849
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Country | US
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Telephone | 908-689-6000
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Fax | 908-689-9057
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Authorized Official
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Title or Position | DIVISION DIRECTOR
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Name | MISS JUDITH A LEONE
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Credential | RN,BSN
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Telephone | 908-689-6000
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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 | 251E00000X
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License Number State | NJ
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