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General NPI Number Information
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NPI Number | 1609670330
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Entity Type | Organization
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Legal Business Name | HEART OF HANNAH WOMEN'S CENTER INC.
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 421 LAKEVIEW AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-4079
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Country | US
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Telephone | 973-955-8062
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Fax |
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Provider Business Mailing Address
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Address Line | 421 LAKEVIEW AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-4079
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Country | US
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Telephone | 973-684-5133
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. KELLEY MOSS-BROWN
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Credential |
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Telephone | 973-955-8062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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