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General NPI Number Information
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NPI Number | 1205484086
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Entity Type | Organization
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Legal Business Name | MICHNAD & ASSOCIATES LLC
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 10 OAKDALE DRIVE
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City | MILLVILLE
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State | NJ
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Zip | 08332
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Country | US
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Telephone | 856-300-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 139 TOLEDO LANE
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City | WILLINGBORO
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State | NJ
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Zip | 08046
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Country | US
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Telephone | 609-744-3000
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Fax |
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Authorized Official
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Title or Position | OWNER RN, BS/CAIA
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Name | MICHELE DESLOGES
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Credential |
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Telephone | 609-744-3000
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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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