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General NPI Number Information
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NPI Number | 1508324062
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Entity Type | Organization
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Legal Business Name | KEON HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 2204 MORRIS AVE STE LL5
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City | UNION
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State | NJ
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Zip | 07083-5918
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Country | US
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Telephone | 908-774-3823
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Fax | 909-787-8011
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Provider Business Mailing Address
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Address Line | PO BOX 264
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City | VAUXHALL
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State | NJ
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Zip | 07088-0264
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Country | US
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Telephone | 908-774-3823
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Fax | 908-787-8011
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Authorized Official
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Title or Position | OWNER
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Name | SABINE PRINCE-BATAILLE
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Credential | RN, BSN
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Telephone | 908-774-3823
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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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