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General NPI Number Information
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NPI Number | 1073062436
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Entity Type | Organization
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Legal Business Name | THE JEWISH COMMUNITY CENTER OF SOMERSET, HUNTERDON & WARREN COUNTIES
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 775 TALAMINI RD
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1739
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Country | US
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Telephone | 908-725-6994
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Fax | 908-725-9753
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Provider Business Mailing Address
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Address Line | 775 TALAMINI RD
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1739
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Country | US
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Telephone | 908-725-6994
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Fax | 908-725-9753
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LAURA FRIEDMAN
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Credential |
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Telephone | 908-725-6994
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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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