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NPI 1144560657

NPI 1144560657 : UPPER DEERFIELD TOWNSHIP BOE : BRIDGETON, NJ

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General NPI Number Information
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    NPI Number           |    1144560657
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    Entity Type          |    Organization 
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    Legal Business Name  |    UPPER DEERFIELD TOWNSHIP BOE 
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Dates
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    Enumeration Date     |    02/20/2013
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    Last Update Date     |    02/20/2013
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Provider Practice Location Address
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    Address Line         |    1369 HIGHWAY 77 
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    City                 |    BRIDGETON
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    State                |    NJ
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    Zip                  |    08302-5997
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    Country              |    US
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    Telephone            |    856-455-2267
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    Fax                  |    856-451-1673
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Provider Business Mailing Address
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    Address Line         |    1369 HIGHWAY 77 
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    City                 |    BRIDGETON
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    State                |    NJ
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    Zip                  |    08302-5997
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    Country              |    US
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    Telephone            |    856-455-2267
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    Fax                  |    856-451-1673
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Authorized Official
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    Title or Position    |    CHILD STUDY TEAM COORDINATOR
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    Name                 |    MRS. JILL  TRAINOR 
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    Credential           |    
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    Telephone            |    856-455-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    
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