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General NPI Number Information
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NPI Number | 1750492591
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Entity Type | Organization
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Legal Business Name | VISITING CAREGIVERS OF NEW JERSEY, LLC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9 ROSETREE LN
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-3232
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Country | US
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Telephone | 609-882-5300
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Fax | 609-882-5330
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Provider Business Mailing Address
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Address Line | 9 ROSETREE LN
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-3232
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Country | US
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Telephone | 609-882-5300
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Fax | 609-882-5330
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDREW JOHN TUNNARD
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Credential |
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Telephone | 609-882-5300
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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 | HP0076900
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License Number State | NJ
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