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General NPI Number Information
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NPI Number | 1912797218
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Entity Type | Organization
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Legal Business Name | BEAUVAIS HEALTH HOMECARE 3 INC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 111 NORTHFIELD AVE STE 208A
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4730
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Country | US
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Telephone | 973-436-5862
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Fax | 973-537-1006
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Provider Business Mailing Address
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Address Line | 111 NORTHFIELD AVE STE 208A
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4730
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Country | US
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Telephone | 973-436-5862
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Fax | 973-537-1006
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILDA B. BEAUVAIS
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Credential | MD
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Telephone | 973-436-5862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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