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General NPI Number Information
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NPI Number | 1982639910
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Entity Type | Organization
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Legal Business Name | BAYADA NURSES
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 CONNECTICUT AVE SUITE 5-F
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City | NORWALK
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State | CT
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Zip | 06854-1940
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Country | US
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Telephone | 203-854-5100
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Fax | 203-855-1889
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Provider Business Mailing Address
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Address Line | 101 EXECUTIVE DR SUITE 4
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City | MOORESTOWN
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State | NJ
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Zip | 08057-4236
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Country | US
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Telephone | 856-793-1703
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Fax | 856-439-0412
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | STEPHEN P FLANNERY
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Credential |
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Telephone | 856-793-1703
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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 | 0011
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License Number State | CT
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