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General NPI Number Information
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NPI Number | 1114307881
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Entity Type | Organization
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Legal Business Name | ALLIES, INC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 746 PRESIDENT AVE
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4442
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Country | US
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Telephone | 609-689-0136
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Fax | 609-581-4891
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Provider Business Mailing Address
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Address Line | 1262 WHITEHORSE HAMILTON SQUARE RD BUILDING A SUITE 101
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City | HAMILTON
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State | NJ
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Zip | 08690-3711
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Country | US
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Telephone | 609-689-0136
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Fax | 609-581-4891
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | ELISE TRETOLA
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Credential |
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Telephone | 609-689-0136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | GH972
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License Number State | NJ
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