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General NPI Number Information
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NPI Number | 1629652946
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Entity Type | Organization
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Legal Business Name | DILIGENT NURSING AGENCY LLC
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E BLDG Q
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 703-624-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WOOD THRUSH AVE
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5289
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Country | US
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Telephone | 703-624-1202
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MOHAMED ARON TURAY
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Credential |
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Telephone | 703-624-1202
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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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