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General NPI Number Information
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NPI Number | 1538140249
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Entity Type | Organization
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Legal Business Name | APPLEWOOD VILLAGE INC.
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1 APPLEWOOD DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-3985
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Country | US
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Telephone | 732-780-7370
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Fax | 732-303-1240
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Provider Business Mailing Address
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Address Line | 1 APPLEWOOD DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-3985
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Country | US
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Telephone | 732-303-7403
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Fax | 732-303-1240
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Authorized Official
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Title or Position | CFO
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Name | MARK MAZZELLA
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Credential |
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Telephone | 908-580-3845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 061343
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License Number State | NJ
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