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General NPI Number Information
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NPI Number | 1700056561
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Entity Type | Organization
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Legal Business Name | PERRY OPEND DOOR, INC.
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Dates
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Enumeration Date | 03/08/2008
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Last Update Date | 03/08/2008
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Provider Practice Location Address
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Address Line | 5 CLOVER WAY
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City | MANCHESTER
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State | NJ
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Zip | 08759-5048
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Country | US
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Telephone | 732-849-5714
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CLOVER WAY
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City | MANCHESTER
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State | NJ
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Zip | 08759-5048
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Country | US
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Telephone | 732-849-5714
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ESTELLE ELIZABETH PERRY
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Credential |
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Telephone | 732-849-5714
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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 | 0400197950
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License Number State | NJ
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