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General NPI Number Information
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NPI Number | 1699045922
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Entity Type | Organization
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Legal Business Name | MONMOUTH HOME HEALTH CARE
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 716 NEWMAN SPRINGS RD SUITE 132
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City | LINCROFT
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State | NJ
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Zip | 07738-1523
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Country | US
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Telephone | 732-962-0179
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Fax |
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Provider Business Mailing Address
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Address Line | 716 NEWMAN SPRINGS RD SUITE 132
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City | LINCROFT
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State | NJ
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Zip | 07738-1523
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Country | US
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Telephone | 732-962-0179
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIVIAN TORRES
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Credential | NP
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Telephone | 732-962-0179
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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 | HP0158500
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License Number State | NJ
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