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General NPI Number Information
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NPI Number | 1073460838
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Entity Type | Organization
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Legal Business Name | TCNJ OF ESSEX LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 81 NORTHFIELD AVE STE 304
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5344
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Country | US
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Telephone | 862-259-6063
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Fax |
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Provider Business Mailing Address
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Address Line | 4 S ORANGE AVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-1702
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Country | US
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Telephone | 862-259-6063
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTYONE AARON COURTNEY AGEDAY
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Credential |
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Telephone | 862-259-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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