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General NPI Number Information
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NPI Number | 1992013437
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Entity Type | Organization
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Legal Business Name | RELIABLE RESOURCES LLC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 211 WEST END AVE
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109
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Country | US
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Telephone | 856-979-6495
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Fax |
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Provider Business Mailing Address
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Address Line | 211 WEST END AVE
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109
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Country | US
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Telephone | 856-663-0909
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DESERIE DOWE
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Credential |
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Telephone | 856-979-6495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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