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General NPI Number Information
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NPI Number | 1952566028
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Entity Type | Organization
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Legal Business Name | WEDGWOOD GARDENS CARE CENTER
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 10/12/2008
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Provider Practice Location Address
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Address Line | 3419 ROUTE 9 N
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City | FREEHOLD
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State | NJ
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Zip | 07728-3284
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Country | US
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Telephone | 732-677-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 3419 ROUTE 9 N
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City | FREEHOLD
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State | NJ
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Zip | 07728-3284
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Country | US
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Telephone | 732-677-1200
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. S ROBERT KASZIRER
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Credential | LNHA
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Telephone | 732-677-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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