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General NPI Number Information
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NPI Number | 1023369287
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Entity Type | Organization
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Legal Business Name | ALPHA CHILD AND FAMILY SERVICES LLC
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 101 ROUTE 130 S STE 204
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City | CINNAMINSON
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State | NJ
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Zip | 08077-2861
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Country | US
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Telephone | 856-499-0434
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Fax | 856-499-0435
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Provider Business Mailing Address
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Address Line | 101 ROUTE 130 S STE 204
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City | CINNAMINSON
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State | NJ
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Zip | 08077-2861
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Country | US
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Telephone | 856-499-0434
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Fax | 856-499-0435
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Authorized Official
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Title or Position | OWNER
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Name | NADINE GEORGE-HARRINGTON
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Credential |
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Telephone | 856-499-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 44SC05360200
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License Number State | NJ
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