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General NPI Number Information
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NPI Number | 1992001945
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Entity Type | Organization
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Legal Business Name | VIP CARE, INC.
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 60 FERRY ST STE A
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City | NEWARK
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State | NJ
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Zip | 07105-1888
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Country | US
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Telephone | 973-522-2060
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Fax | 973-522-2062
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Provider Business Mailing Address
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Address Line | 60 FERRY ST STE A
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City | NEWARK
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State | NJ
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Zip | 07105-1888
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Country | US
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Telephone | 973-522-2060
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Fax | 973-522-2062
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIYA RUDINSKAYA
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Credential | RN
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Telephone | 973-522-2060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HP0060003
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License Number State | NJ
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