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General NPI Number Information
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NPI Number | 1871916882
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Entity Type | Organization
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Legal Business Name | BEST MODERN CARE
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 2816 MORRIS AVE STE 27
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City | UNION
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State | NJ
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Zip | 07083-4869
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Country | US
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Telephone | 908-964-1001
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Fax | 908-964-1005
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Provider Business Mailing Address
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Address Line | 2810 MORRIS AVE STE 310
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City | UNION
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State | NJ
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Zip | 07083-4841
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Country | US
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Telephone | 908-964-1001
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Fax | 908-964-1005
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Authorized Official
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Title or Position | OWNER
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Name | YEKATERINA MOZOLKINA
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Credential |
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Telephone | 908-964-1005
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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 | HP0185400
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License Number State | NJ
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