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General NPI Number Information
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NPI Number | 1750336467
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Entity Type | Organization
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Legal Business Name | HOSPICE AT BERGEN COMMUNITY HEALTH CARE
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 OLD HOOK RD SUITE G3
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City | WESTWOOD
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State | NJ
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Zip | 07675-2732
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Country | US
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Telephone | 201-358-2900
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Fax | 201-358-2989
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Provider Business Mailing Address
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Address Line | 400 OLD HOOK RD SUITE G3
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City | WESTWOOD
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State | NJ
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Zip | 07675-2732
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Country | US
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Telephone | 201-358-2900
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Fax | 201-358-2989
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Authorized Official
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Title or Position | CEO
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Name | MR. SIDNEY MITCHELL
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Credential |
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Telephone | 201-358-3000
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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 | 22254
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License Number State | NJ
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