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General NPI Number Information
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NPI Number | 1841509783
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Entity Type | Individual
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Provider Name | GAIL FIEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 760 S DELSEA DR BCV SUITE 300
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City | VINELAND
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State | NJ
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Zip | 08360-4613
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Country | US
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Telephone | 856-690-0946
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Fax |
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Provider Business Mailing Address
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Address Line | 1559 N EAST AVE
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City | VINELAND
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State | NJ
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Zip | 08360-2525
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Country | US
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Telephone | 856-691-6017
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Fax | 856-692-3004
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 46TR00226700
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License Number State | NJ
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