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General NPI Number Information
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NPI Number | 1912399890
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Entity Type | Organization
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Legal Business Name | JJD SENIOR SERVICES,LLC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 78 DEFOREST AVE
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City | EAST HANOVER
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State | NJ
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Zip | 07936-2811
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Country | US
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Telephone | 973-435-4873
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Fax | 619-376-1833
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Provider Business Mailing Address
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Address Line | 831-38 ROUTE 10 EAST SUITE 276
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City | WHIPPANY
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State | NJ
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Zip | 07981
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Country | US
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Telephone | 973-435-4873
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Fax | 619-376-1833
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DORIS DOREY
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Credential |
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Telephone | 973-435-4873
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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 | HP0182600
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License Number State | NJ
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