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General NPI Number Information
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NPI Number | 1841581303
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Entity Type | Organization
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Legal Business Name | BETTY NURSING SERVICE/HOME CARE INC
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 1219 LIBERTY AVE SUITE 3
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City | HILLSIDE
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State | NJ
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Zip | 07205-2055
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Country | US
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Telephone | 201-567-1044
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Fax | 201-567-2201
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Provider Business Mailing Address
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Address Line | 1369 NORTH AVE SUITE 22
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City | ELIZABETH
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State | NJ
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Zip | 07208-2626
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Country | US
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Telephone | 201-567-1044
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Fax | 201-567-2201
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. BETTY ONYEAHARA
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Credential |
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Telephone | 201-567-1044
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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 | HP0066100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0066100
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License Number State | NJ
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