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General NPI Number Information
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NPI Number | 1174327456
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Entity Type | Organization
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Legal Business Name | THE SKILLS LAB LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 965 CROSS ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 917-635-2404
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Fax |
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Provider Business Mailing Address
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Address Line | 172 TUDOR CT
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1471
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATING PARTNER
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Name | SARAH FRIEDMAN
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Credential |
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Telephone | 917-635-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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