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General NPI Number Information
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NPI Number | 1134215239
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Entity Type | Organization
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Legal Business Name | MILLHOUSE PED DAY HLTH SVCS
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 325 JERSEY ST
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City | TRENTON
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State | NJ
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Zip | 08611-3113
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Country | US
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Telephone | 609-396-2299
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Fax | 609-396-7611
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Provider Business Mailing Address
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Address Line | 1114 WYNNWOOD AVE
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3256
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Country | US
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Telephone | 856-663-4044
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Fax | 856-663-3444
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. ROBERT J SALL
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Credential |
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Telephone | 856-663-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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