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General NPI Number Information
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NPI Number | 1811013451
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALTH SERVICES
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 661 E 26TH ST
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City | PATERSON
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State | NJ
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Zip | 07504-1917
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Country | US
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Telephone | 973-279-3740
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Fax |
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Provider Business Mailing Address
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Address Line | 661 E 26TH ST
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City | PATERSON
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State | NJ
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Zip | 07504-1917
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Country | US
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Telephone | 973-279-3740
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Fax | 973-279-3327
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA HENRIQUES
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Credential |
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Telephone | 973-279-3740
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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 | HP0031500
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License Number State | NJ
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