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General NPI Number Information
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NPI Number | 1609052315
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Entity Type | Organization
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Legal Business Name | HOMECARE FOR CHILDREN, INC
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 2399 HIGHWAY 34 UNIT A, SUITE A-6
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City | MANASQUAN
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State | NJ
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Zip | 08736-1500
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Country | US
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Telephone | 732-295-1455
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Fax | 732-295-1454
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Provider Business Mailing Address
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Address Line | PO BOX 171
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City | BAY HEAD
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State | NJ
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Zip | 08742-0171
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Country | US
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Telephone | 732-295-1455
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Fax | 732-295-1454
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | PAMELA JANE STEENLAND
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Credential | BSN
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Telephone | 732-295-1455
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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 | HPO224200
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License Number State | NJ
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