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General NPI Number Information
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NPI Number | 1649259292
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Entity Type | Organization
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Legal Business Name | SALEM HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 310 SALEM WOODSTOWN RD 2ND FLOOR, 2 EAST
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City | SALEM
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State | NJ
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Zip | 08079-2064
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Country | US
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Telephone | 856-678-8500
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Fax | 856-678-5180
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Provider Business Mailing Address
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Address Line | 310 SALEM WOODSTOWN RD 2ND FLOOR, 2 EAST
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City | SALEM
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State | NJ
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Zip | 08079-2064
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Country | US
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Telephone | 856-678-8500
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Fax | 856-678-5180
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Authorized Official
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Title or Position | SR.DIRECTOR BUSINESS OFFICE SUPPORT
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Name | MS. LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 22761
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License Number State | NJ
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