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General NPI Number Information
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NPI Number | 1043030778
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Entity Type | Organization
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Legal Business Name | BANCROFT A NEW JERSEY NONPROFIT CORPORATION
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 5010 RUSSELL AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-1936
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Country | US
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Telephone | 856-348-1151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7478
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City | LANCASTER
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State | PA
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Zip | 17604-7478
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Country | US
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Telephone | 856-348-1137
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Fax | 856-348-1167
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER CRIPPS
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Credential | CPA
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Telephone | 856-348-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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