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General NPI Number Information
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NPI Number | 1639470065
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Entity Type | Organization
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Legal Business Name | PII MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 139 OCEAN AVE SUITE 4
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3668
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Country | US
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Telephone | 732-363-0167
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Fax | 732-363-9223
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Provider Business Mailing Address
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Address Line | 139 OCEAN AVE SUITE 4
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3668
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Country | US
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Telephone | 732-363-0167
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Fax | 732-363-9223
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | MS. CHERRYL SHARP
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Credential | RN
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Telephone | 732-363-0167
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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 | HP0147900
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License Number State | NJ
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