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General NPI Number Information
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NPI Number | 1952703753
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Entity Type | Organization
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Legal Business Name | JANINE TREMBLEY RNFA LLC
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 39 REDWOOD DR
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City | EATONTOWN
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State | NJ
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Zip | 07724-3460
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Country | US
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Telephone | 732-544-0879
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Fax |
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Provider Business Mailing Address
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Address Line | 39 REDWOOD DR
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City | EATONTOWN
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State | NJ
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Zip | 07724-3460
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANINE TREMBLEY
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Credential | RNFA
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Telephone | 732-544-0879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 26NO10286200
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License Number State | NJ
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