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General NPI Number Information
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NPI Number | 1528592078
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Entity Type | Organization
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Legal Business Name | NJ GOLDEN HOME CARE
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 46 MAIN ST STE 108
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City | SPARTA
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State | NJ
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Zip | 07871-1910
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Country | US
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Telephone | 908-469-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 46 MAIN ST STE 108
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City | SPARTA
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State | NJ
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Zip | 07871-1910
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Country | US
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Telephone | 908-469-5720
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. HATEM ABDELAZIA
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Credential |
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Telephone | 973-390-8768
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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 | NJ
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