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General NPI Number Information
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NPI Number | 1225396658
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Entity Type | Organization
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Legal Business Name | BELMAR PEDIATRIC DAY CARE I LLC
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 325 JERSEY STREET
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City | TRENTON
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State | NJ
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Zip | 08611-3113
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Country | US
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Telephone | 718-570-6018
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Fax | 201-266-9487
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Provider Business Mailing Address
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Address Line | 180 SYLVAN AVENUE C/O CONTINUUM HEALTHCARE SUITE 202
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632
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Country | US
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Telephone | 718-570-6018
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Fax | 201-266-9487
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DANIEL DANIEL BRUCKSTEIN
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Credential | LNHA
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Telephone | 516-507-8465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number | 478312
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License Number State | NJ
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