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General NPI Number Information
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NPI Number | 1114899606
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Entity Type | Organization
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Legal Business Name | CGL LEARNING INSTITUTE LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1458 LIBERTY AVE
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City | HILLSIDE
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State | NJ
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Zip | 07205-1334
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Country | US
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Telephone | 908-818-1290
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Fax | 862-231-6318
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Provider Business Mailing Address
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Address Line | 1458 LIBERTY AVE
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City | HILLSIDE
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State | NJ
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Zip | 07205-1334
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Country | US
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Telephone | 908-818-1290
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Fax | 862-231-6318
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Authorized Official
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Title or Position | OWNER
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Name | CLIFF GUS LACHAPELLE
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Credential | HEALTH CARE SERVICE
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Telephone | 347-753-5921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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