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General NPI Number Information
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NPI Number | 1205718129
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Entity Type | Organization
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Legal Business Name | J & S TREATMENT LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 207 SHORE RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2712
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Country | US
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Telephone | 609-709-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E SEAVIEW AVE
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City | LINWOOD
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State | NJ
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Zip | 08221-2139
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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 | MEMBER
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Name | IAN KOCH
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Credential |
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Telephone | 609-709-0244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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