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General NPI Number Information
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NPI Number | 1083085211
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Entity Type | Organization
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Legal Business Name | ROWAN COLLEGE AT GLOUCESTER COUNTY
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 530 SALINA RD ADULT CENTER FOR TRANSITION
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City | DEPTFORD
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-464-5203
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 TANYARD RD ADULT CENTER FOR TRANSITION
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City | SEWELL
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State | NJ
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Zip | 08080-4222
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Country | US
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Telephone | 856-468-5000
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Fax |
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Authorized Official
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Title or Position | EXEC. DIRECTOR FINANCIAL SERVICES
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Name | MR. ELIZABETH HALL
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Credential |
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Telephone | 856-415-2228
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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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