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General NPI Number Information
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NPI Number | 1962543330
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Entity Type | Organization
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Legal Business Name | HOSPITALER SISTERS OF MERCY
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 917 S MAIN ST
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-3617
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Country | US
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Telephone | 609-645-9300
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Fax | 609-645-9600
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Provider Business Mailing Address
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Address Line | 917 S MAIN ST
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-3617
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Country | US
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Telephone | 609-645-9300
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Fax | 609-645-9600
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELETTA FELLI
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Credential | RN
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Telephone | 609-645-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 01A005
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License Number State | NJ
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