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General NPI Number Information
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NPI Number | 1639755697
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Entity Type | Organization
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Legal Business Name | IY NURSING AGENCY
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Dates
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Enumeration Date | 03/21/2021
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 46 SAGER PL
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City | HILLSIDE
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State | NJ
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Zip | 07205-1024
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Country | US
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Telephone | 908-358-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 46 SAGER PL
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City | HILLSIDE
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State | NJ
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Zip | 07205-1024
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Country | US
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Telephone | 908-358-6250
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Fax | 908-623-4709
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KATE OSAYANDE
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Credential | LPN
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Telephone | 84-405-1269
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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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