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General NPI Number Information
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NPI Number | 1811932429
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Entity Type | Organization
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Legal Business Name | BAYADA HOME HEALTH CARE, INC,
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 643 GREENWAY RD SUITE G
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City | BOONE
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State | NC
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Zip | 28607-4819
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Country | US
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Telephone | 828-263-5350
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Fax | 828-263-5354
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Provider Business Mailing Address
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Address Line | 101 EXECUTIVE DR SUITE 4
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City | MOORESTOWN
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State | NJ
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Zip | 08057-4236
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Country | US
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Telephone | 856-778-4400
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Fax | 856-778-4103
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Authorized Official
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Title or Position | DIRECTOR OF BILLING & COLLECTIONS
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Name | STEPHEN P FLANNERY
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Credential |
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Telephone | 856-793-1703
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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 | HC3860
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC3860
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC3860
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License Number State | NC
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