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General NPI Number Information
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NPI Number | 1962216705
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Entity Type | Organization
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Legal Business Name | SOMERSET RESIDENCE CORPORATION
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 354 DEMOTT LN
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City | SOMERSET
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State | NJ
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Zip | 08873-4925
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Country | US
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Telephone | 732-227-1212
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Fax | 732-227-1722
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Provider Business Mailing Address
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Address Line | 354 DEMOTT LN
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City | SOMERSET
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State | NJ
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Zip | 08873-4925
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Country | US
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Telephone | 732-227-1212
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Fax | 732-227-1722
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS,ADMIN
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Name | JEAN A LEONE
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Credential | DMIN, MSN, MSOL,RN
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Telephone | 732-568-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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