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General NPI Number Information
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NPI Number | 1891678900
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Entity Type | Organization
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Legal Business Name | J KENNETH STANDRING LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 545 BECKETT RD
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1547
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Country | US
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Telephone | 856-515-3756
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Fax |
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Provider Business Mailing Address
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Address Line | 208 4TH AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. JACK STANDRING
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Credential |
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Telephone | 856-515-3756
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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 |
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License Number State |
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