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General NPI Number Information
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NPI Number | 1629244736
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Entity Type | Organization
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Legal Business Name | DE CEE HOME HEALTH AID LLC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 22-24 UNION AVE 2ND FLOOR
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City | IRVINGTON
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State | NJ
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Zip | 07111
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Country | US
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Telephone | 201-563-8916
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Fax |
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Provider Business Mailing Address
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Address Line | 22-24 UNION AVE 2ND FLOOR
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City | IRVINGTON
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State | NJ
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Zip | 07111
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Country | US
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Telephone | 201-563-8916
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. UCHE IHE
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Credential |
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Telephone | 201-563-8916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | HP113700
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License Number State | NJ
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