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General NPI Number Information
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NPI Number | 1548509821
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Entity Type | Organization
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Legal Business Name | KATRIX LLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 47 PEACH TREE AVE
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City | EAST HANOVER
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State | NJ
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Zip | 07936-1559
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Country | US
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Telephone | 908-304-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 47 PEACH TREE AVE
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City | EAST HANOVER
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State | NJ
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Zip | 07936-1559
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Country | US
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Telephone | 908-304-5313
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Fax |
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Authorized Official
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Title or Position | APN-BC
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Name | KATE A OKUSANYA
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Credential | NP
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Telephone | 908-304-5313
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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 | HP0166400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HP0166400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0166400
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License Number State | NJ
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