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General NPI Number Information
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NPI Number | 1497717227
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Entity Type | Organization
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Legal Business Name | BERGEN COMMUNITY HEALTH CARE
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 400 OLD HOOK RD G6
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City | WESTWOOD
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State | NJ
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Zip | 07675-2732
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Country | US
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Telephone | 201-358-2666
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Fax | 201-722-9569
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Provider Business Mailing Address
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Address Line | 400 OLD HOOK RD G6
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City | WESTWOOD
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State | NJ
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Zip | 07675-2732
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Country | US
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Telephone | 201-358-2666
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Fax | 201-722-9569
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Authorized Official
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Title or Position | CEO
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Name | MR. SIDNEY MITCHELL
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Credential |
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Telephone | 201-358-3000
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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 | 22256
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License Number State | NJ
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