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General NPI Number Information
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NPI Number | 1982948303
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Entity Type | Organization
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Legal Business Name | RARITAN NH LLC
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 633 ROUTE 28
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City | RARITAN
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State | NJ
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Zip | 08869-1127
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Country | US
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Telephone | 908-526-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 102 REAGAN CT
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3263
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Country | US
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Telephone | 732-881-8940
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BENJAMIN KURLAND
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Credential |
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Telephone | 732-881-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 061809
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License Number State | NJ
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