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General NPI Number Information
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NPI Number | 1861292658
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Entity Type | Organization
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Legal Business Name | LIBERTY HOME CARE SERVICE INC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 33 WOOD AVE S UNIT 436
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City | ISELIN
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State | NJ
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Zip | 08830-2735
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Country | US
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Telephone | 732-592-2221
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Fax | 732-582-5501
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Provider Business Mailing Address
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Address Line | 33 WOOD AVE S UNIT 436
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City | ISELIN
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State | NJ
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Zip | 08830-2735
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Country | US
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Telephone | 732-592-2221
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Fax | 732-582-5501
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Authorized Official
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Title or Position | OWNER
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Name | ANKITA SHAH
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Credential |
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Telephone | 732-512-7783
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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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