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General NPI Number Information
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NPI Number | 1760725808
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Entity Type | Organization
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Legal Business Name | AFFINITY HOME CARE SERVICES
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 16 CHESTNUT AVENUE SUITE 302 W
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City | EMERSON
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State | NJ
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Zip | 07630
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Country | US
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Telephone | 201-265-1303
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Fax | 201-265-1384
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Provider Business Mailing Address
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Address Line | 16 CHESTNUT AVENUE SUITE # 302W
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City | EMERSON
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State | NJ
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Zip | 07630
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Country | US
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Telephone | 201-265-1303
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Fax | 201-265-1384
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Authorized Official
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Title or Position | DON RN
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Name | DOROTHY I. LEARY
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Credential | R.N.
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Telephone | 201-265-1303
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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 | HP0170300
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License Number State | NJ
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