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General NPI Number Information
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NPI Number | 1851181515
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Entity Type | Organization
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Legal Business Name | WILSON HOME HEALTH CARE & STAFFING SERVICES
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2517 ROUTE 35 BLDG B, SUITE 101
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City | MANASQUAN
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State | NJ
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Zip | 08736
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Country | US
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Telephone | 732-612-3146
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Fax | 732-607-4073
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Provider Business Mailing Address
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Address Line | 2517 ROUTE 35 BLDG B, SUITE 101
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City | MANASQUAN
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State | NJ
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Zip | 08736
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Country | US
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Telephone | 732-612-3146
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Fax | 732-607-4073
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BRIAN MICHAEL WILSON
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Credential |
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Telephone | 732-612-3146
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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 |
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License Number State |
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