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General NPI Number Information
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NPI Number | 1790456168
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Entity Type | Organization
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Legal Business Name | THEKEY OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 1450 US HIGHWAY 22 STE 204
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2619
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Country | US
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Telephone | 609-799-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 FAY AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-4327
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Country | US
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Telephone | 858-228-7030
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE ASSOCIATE
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Name | SEAN CYGAN
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Credential |
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Telephone | 858-287-3077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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