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General NPI Number Information
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NPI Number | 1932413358
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Entity Type | Organization
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Legal Business Name | SJ NURSES INC.
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 434 W SIDE AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07304-1426
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Country | US
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Telephone | 207-209-1009
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Fax | 201-209-1160
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Provider Business Mailing Address
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Address Line | 850 HAMILTON AVE
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City | TRENTON
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State | NJ
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Zip | 08629-1903
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Country | US
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Telephone | 609-396-7100
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Fax | 609-396-7559
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Authorized Official
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Title or Position | ACTING PRESIDENT
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Name | MISS LIGIA FERNANDES
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Credential | RN
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Telephone | 609-396-7100
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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 | HP0142100
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License Number State | NJ
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