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General NPI Number Information
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NPI Number | 1093162406
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Entity Type | Organization
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Legal Business Name | ASHAWORKS
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 37 WOODCREST DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3850
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Country | US
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Telephone | 973-207-9273
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Fax |
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Provider Business Mailing Address
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Address Line | 37 WOODCREST DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3850
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Country | US
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Telephone | 973-207-9273
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANA CIRILLO
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Credential |
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Telephone | 973-207-9273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 44SC05203700
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License Number State | NJ
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