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General NPI Number Information
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NPI Number | 1013318716
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Entity Type | Organization
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Legal Business Name | EQUAL PARTNERS INC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 774 EAYRESTOWN ROAD
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City | LUMBERTON
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State | NJ
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Zip | 08048
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Country | US
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Telephone | 609-784-8475
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Fax | 609-784-8481
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Provider Business Mailing Address
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Address Line | PO BOX 725
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City | BROWNS MILLS
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State | NJ
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Zip | 08015-0725
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Country | US
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Telephone | 609-784-8475
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MS. KATINA BODIE
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Credential |
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Telephone | 609-784-8475
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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 | 320900000X
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License Number State | NJ
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