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General NPI Number Information
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NPI Number | 1972165611
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Entity Type | Organization
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Legal Business Name | EVAS HOME CARE NJ LLC
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 9 9TH ST
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City | SOMERSET
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State | NJ
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Zip | 08873-1562
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Country | US
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Telephone | 908-616-6267
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Fax | 732-626-6264
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Provider Business Mailing Address
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Address Line | 9 9TH ST
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City | SOMERSET
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State | NJ
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Zip | 08873-1562
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Country | US
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Telephone | 908-616-6267
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Fax | 732-626-6264
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. EVA KUCSMA
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Credential |
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Telephone | 908-616-6267
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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 |
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License Number State |
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