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General NPI Number Information
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NPI Number | 1811427768
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Entity Type | Organization
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Legal Business Name | LOVE IN CARE LLC DBA GOLDEN HEART SENIOR CARE
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 06/14/2017
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Provider Practice Location Address
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Address Line | 254 BRICK BLVD UNIT 3
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632
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Country | US
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Telephone | 732-333-8138
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Fax | 732-443-7075
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Provider Business Mailing Address
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Address Line | 560 SYLVAN AVE STE 3220
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3170
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Country | US
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Telephone | 732-333-8138
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Fax | 732-443-7075
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD PERRONE RYAN
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Credential |
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Telephone | 732-333-8138
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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 | 0299850
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License Number State | NJ
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