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General NPI Number Information
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NPI Number | 1669533246
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Entity Type | Organization
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Legal Business Name | ADVANCED SERVICES INTERNATIONAL, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 841 E. ST. GEORGE AVE
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City | ROSELLE
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State | NJ
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Zip | 07203
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Country | US
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Telephone | 201-209-0001
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Fax | 201-209-1333
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Provider Business Mailing Address
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Address Line | 841 E. ST. GEORGE AVE
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City | ROSELLE
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State | NJ
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Zip | 07203
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Country | US
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Telephone | 201-209-0001
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Fax | 201-209-1333
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YURY ROZEL
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Credential |
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Telephone | 201-209-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4082000
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License Number State | NJ
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