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General NPI Number Information
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NPI Number | 1629866314
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Entity Type | Organization
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Legal Business Name | AUTRIS HEALTHCARE LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 111 QUIMBY STREET, 1ST FLOOR, SUITE 2,
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City | WESTFIELD
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State | NJ
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Zip | 07090
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Country | US
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Telephone | 973-736-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MADISON AVE STE 400
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7397
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Country | US
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Telephone | 646-791-9669
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE BUSINESS MANAGER
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Name | PRINCESS GUILLERMO
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Credential |
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Telephone | 646-791-9669
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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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