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General NPI Number Information
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NPI Number | 1689393837
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Entity Type | Organization
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Legal Business Name | VIRTUA HOME CARE -COMMUNITY NURSING SERVICES INC
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 100 TOWNSEND AVE
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City | BERLIN
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State | NJ
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Zip | 08009
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Country | US
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Telephone | 856-322-3080
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Fax | 856-322-3081
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Provider Business Mailing Address
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Address Line | 100 TOWNSEND AVE
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City | BERLIN
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State | NJ
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Zip | 08009
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Country | US
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Telephone | 856-322-3080
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Fax | 856-322-3081
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Authorized Official
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Title or Position | PRESIDENT/VIRTUA HOME CARE-COMMUNIT
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Name | DR. JOHN MARK MATSINGER
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Credential | D.O.
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Telephone | 856-355-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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