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General NPI Number Information
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NPI Number | 1730043977
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Entity Type | Organization
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Legal Business Name | UNITED HOSPICE OF NEW JERSEY LTD LIABILITY COMPANY
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 673 IRVINGTON AVE FL 1
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City | NEWARK
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State | NJ
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Zip | 07106-3306
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Country | US
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Telephone | 973-710-8429
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Fax |
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Provider Business Mailing Address
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Address Line | 118 WATSON RD
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City | FANWOOD
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State | NJ
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Zip | 07023-1243
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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 | PRINCIPAL
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Name | MR. GODWIN EZEWEPUTA
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Credential | RN
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Telephone | 973-710-8429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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