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General NPI Number Information
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NPI Number | 1053220988
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Entity Type | Organization
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Legal Business Name | ENCORE EDUCATIONAL INSTITUTE, LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 71 ORLANDO DR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-4492
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Country | US
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Telephone | 609-455-9285
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Fax | 856-740-1003
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Provider Business Mailing Address
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Address Line | 71 ORLANDO DR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-4492
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Country | US
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Telephone | 609-455-9285
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Fax | 856-740-1003
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Authorized Official
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Title or Position | DIRECTOR/CONSULTANT
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Name | DR. MICHAEL WILLIAM MIMMS
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Credential | ED.D.
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Telephone | 609-455-9285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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