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General NPI Number Information
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NPI Number | 1043785652
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Entity Type | Organization
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Legal Business Name | FROSKO INC.
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 2248 ROUTE 9 S
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City | HOWELL
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State | NJ
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Zip | 07731-4008
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Country | US
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Telephone | 732-577-1500
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Fax | 732-918-8083
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Provider Business Mailing Address
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Address Line | 2248 ROUTE 9 S
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City | HOWELL
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State | NJ
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Zip | 07731-4008
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Country | US
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Telephone | 732-577-1500
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Fax | 732-918-8083
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Authorized Official
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Title or Position | MANAGER/HEAD COACH
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Name | MR. GEORGE ROBERT ROSKO JR.
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Credential | SONJ CERTIFIED
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Telephone | 732-577-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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