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General NPI Number Information
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NPI Number | 1649681438
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Entity Type | Organization
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Legal Business Name | AFFINITY HOME HEALTH RESOURCES, LLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 205 ROUTE 9 N STE 43
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City | FREEHOLD
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State | NJ
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Zip | 07728-8561
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Country | US
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Telephone | 202-361-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 205 ROUTE 9 N STE 43
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City | FREEHOLD
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State | NJ
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Zip | 07728-8561
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Country | US
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Telephone | 202-361-7623
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | NINA POSIDELOW
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Credential |
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Telephone | 732-835-8260
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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 | HP0187900
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License Number State | NJ
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