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General NPI Number Information
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NPI Number | 1710288337
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Entity Type | Organization
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Legal Business Name | HEALTHCARE STAT HOMECARE, INC
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 401 COOPER LANDING RD SUITE C14
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2517
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Country | US
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Telephone | 856-779-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 401 COOPER LANDING RD SUITE C14
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANILAL MATHAI
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Credential |
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Telephone | 215-605-8250
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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 | 0400336025
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License Number State | NJ
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