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General NPI Number Information
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NPI Number | 1801176847
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Entity Type | Organization
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Legal Business Name | JOSEPHINE COMPANION AND HOME SERVICE
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 4 E MEADOWBROOK CIR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-1668
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Country | US
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Telephone | 856-302-6294
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Fax | 856-302-6297
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Provider Business Mailing Address
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Address Line | 4 E MEADOWBROOK CIR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-1668
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Country | US
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Telephone | 856-302-6294
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Fax | 856-302-6297
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. PATRICIA J JEPPOE
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Credential | RN
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Telephone | 856-302-6294
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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 | 1622811
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License Number State | NJ
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