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General NPI Number Information
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NPI Number | 1629121306
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Entity Type | Organization
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Legal Business Name | WANDA BEST HEALTH CARE, INC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 108 CHESTNUT ST SUITE 201
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City | ROSELLE
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State | NJ
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Zip | 07203-2583
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Country | US
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Telephone | 908-245-1700
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Fax | 908-245-2569
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Provider Business Mailing Address
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Address Line | 108 CHESTNUT ST SUITE 202
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City | ROSELLE
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State | NJ
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Zip | 07203-2583
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Country | US
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Telephone | 908-245-1700
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Fax | 908-245-2569
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | LILLIE FAULK
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Credential | RN
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Telephone | 908-245-1700
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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 | HP0219501
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License Number State | NJ
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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 | HP0219500
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License Number State | NJ
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