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General NPI Number Information
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NPI Number | 1528283967
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE MANAGED SERVICES
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 1873 BRUNSWICK AVE
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City | TRENTON
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State | NJ
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Zip | 08648-4601
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Country | US
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Telephone | 609-393-4545
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Fax | 609-989-8873
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Provider Business Mailing Address
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Address Line | 1466 HOOPER AVE
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City | TOMS RIVER
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State | NJ
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Zip | 08753-2827
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Country | US
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Telephone | 732-341-0330
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Fax | 609-989-8873
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | MS. JACQUELINE BARTORELLI
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Credential |
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Telephone | 856-354-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HP0101700
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License Number State | NJ
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