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General NPI Number Information
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NPI Number | 1134911001
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Entity Type | Organization
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Legal Business Name | LIFE OPPORTUNITIES UNLIMITED: A NON-PROFIT CORPORATION
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1 FERRIS COURT
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City | HOHOKUS
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State | NJ
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Zip | 07423
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Country | US
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Telephone | 201-689-1128
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Fax | 201-689-1136
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Provider Business Mailing Address
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Address Line | 75 NORTH MAPLE AVE SUITE (104)
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City | RIDGEWOOD
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State | NJ
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Zip | 07450
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Country | US
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Telephone | 201-689-1128
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Fax | 201-689-1136
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Authorized Official
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Title or Position | FOUNDER & EXECUTIVE DIRECTOR
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Name | MRS. GAIL TAMIRIAN-MANDELI
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Credential |
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Telephone | 201-689-1128
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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 |
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License Number State |
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