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NPI 1609823137

NPI 1609823137 : ATLANTIC PRIVATE CARE SERVICES : BASKING RIDGE, NJ

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General NPI Number Information
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    NPI Number           |    1609823137
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATLANTIC PRIVATE CARE SERVICES 
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Dates
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    Enumeration Date     |    05/29/2006
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    Last Update Date     |    11/13/2023
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Provider Practice Location Address
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    Address Line         |    200 MOUNT AIRY RD 
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    City                 |    BASKING RIDGE
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    State                |    NJ
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    Zip                  |    07920-2313
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    Country              |    US
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    Telephone            |    973-540-9000
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    Fax                  |    973-540-8816
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Provider Business Mailing Address
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    Address Line         |    200 MOUNT AIRY RD 
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    City                 |    BASKING RIDGE
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    State                |    NJ
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    Zip                  |    07920-2313
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    Country              |    US
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    Telephone            |    973-540-9000
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    Fax                  |    973-540-8816
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     PRISCILLA  DEMASI 
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    Credential           |    
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    Telephone            |    973-540-9000
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    NJ
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