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General NPI Number Information
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NPI Number | 1003342239
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Entity Type | Organization
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Legal Business Name | AMIB, INC.
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Dates
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Enumeration Date | 05/09/2017
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 39 BROOKSIDE DR
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City | HOWELL
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State | NJ
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Zip | 07731-1341
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Country | US
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Telephone | 732-262-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 35 BEAVERSON BLVD BUILDING 13
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City | BRICK
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State | NJ
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Zip | 08723-7812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | JAMES TINIK
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Credential |
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Telephone | 732-262-0082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | NJ
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