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General NPI Number Information
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NPI Number | 1558630780
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Entity Type | Organization
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Legal Business Name | USADULT CARE, LLC
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 1970 SWARTHMORE AVE SUITE 2
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4553
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Country | US
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Telephone | 732-901-5500
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Fax | 732-901-5020
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Provider Business Mailing Address
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Address Line | 1970 SWARTHMORE AVE SUITE 2
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4553
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Country | US
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Telephone | 732-901-5500
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Fax | 732-901-5020
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Authorized Official
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Title or Position | PARTNER
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Name | MR. TIMOTHY CARNEY
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Credential |
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Telephone | 732-901-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HP0073900
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License Number State | NJ
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