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General NPI Number Information
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NPI Number | 1700107885
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Entity Type | Organization
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Legal Business Name | UNION HEALTHCARE OF NJ LLC
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Dates
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Enumeration Date | 06/12/2010
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Last Update Date | 06/12/2010
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Provider Practice Location Address
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Address Line | 1221 ERHARDT ST
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City | UNION
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State | NJ
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Zip | 07083-6248
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Country | US
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Telephone | 862-755-9010
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 ERHARDT ST
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City | UNION
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State | NJ
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Zip | 07083-6248
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Country | US
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Telephone | 862-755-9010
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JULIET AJAYI
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Credential | RN/BSN
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Telephone | 862-755-9010
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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 | 0400350245
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License Number State | NJ
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