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General NPI Number Information
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NPI Number | 1982713822
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Entity Type | Organization
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Legal Business Name | MARIAN CARE OF NJ INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 50 HARRISON ST SUITE 312
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City | HOBOKEN
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State | NJ
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Zip | 07030-6064
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Country | US
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Telephone | 201-792-2599
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Fax |
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Provider Business Mailing Address
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Address Line | 50 HARRISON ST SUITE 312
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City | HOBOKEN
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State | NJ
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Zip | 07030-6064
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Country | US
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Telephone | 201-792-2599
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHARMAINE SPENCE
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Credential |
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Telephone | 201-792-2599
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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 | HP0037300
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License Number State | NJ
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