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General NPI Number Information
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NPI Number | 1740367770
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Entity Type | Organization
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Legal Business Name | IMANI NURSES AGENCY LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 1318 SHAFFER AVE
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City | ROSELLE
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State | NJ
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Zip | 07203-2952
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Country | US
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Telephone | 908-241-4050
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Fax | 908-241-8240
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Provider Business Mailing Address
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Address Line | 1318 SHAFFER AVE
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City | ROSELLE
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State | NJ
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Zip | 07203-2952
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Country | US
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Telephone | 908-241-4050
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Fax | 908-241-8240
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Authorized Official
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Title or Position | MEMBER
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Name | MISS IRENE MAINYE
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Credential | RN
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Telephone | 908-241-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 26NR11374600
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License Number State | NJ
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