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General NPI Number Information
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NPI Number | 1902932973
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Entity Type | Organization
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Legal Business Name | FAITHFUL HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 866 S ORANGE AVE
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City | NEWARK
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State | NJ
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Zip | 07106-1933
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Country | US
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Telephone | 973-371-2356
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Fax | 973-371-5666
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Provider Business Mailing Address
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Address Line | 866 S ORANGE AVE
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City | NEWARK
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State | NJ
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Zip | 07106-1933
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Country | US
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Telephone | 973-371-2356
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Fax | 973-371-5666
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Authorized Official
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Title or Position | D.O.N
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Name | MRS. SANDRA UZZELL
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Credential | BACHELORS
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Telephone | 973-371-2356
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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 | 0080225
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License Number State | NJ
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