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General NPI Number Information
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NPI Number | 1679005706
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Entity Type | Organization
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Legal Business Name | MEALS ON WHEELS, INC
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 1025 PENNSYLVANIA AVE
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City | LINDEN
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State | NJ
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Zip | 07036-2240
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Country | US
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Telephone | 908-486-5100
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Fax | 908-486-9120
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Provider Business Mailing Address
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Address Line | 1025 PENNSYLVANIA AVE
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City | LINDEN
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State | NJ
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Zip | 07036-2240
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Country | US
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Telephone | 908-486-5100
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Fax | 908-486-9120
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DONNA J SULLIVAN
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Credential |
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Telephone | 908-486-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | NJ
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