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General NPI Number Information
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NPI Number | 1114886959
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Entity Type | Organization
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Legal Business Name | YOUTH BECOMING ENGAGED INC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 356 BLOOMFIELD AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3646
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Country | US
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Telephone | 862-215-6627
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Fax |
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Provider Business Mailing Address
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Address Line | 85 CAROLINA AVE
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City | NEWARK
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State | NJ
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Zip | 07106-2705
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Country | US
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Telephone | 862-215-6627
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. LAMONT JAMES
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Credential |
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Telephone | 862-215-6627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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