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General NPI Number Information
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NPI Number | 1225859358
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Entity Type | Organization
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Legal Business Name | DESSALINES PRIDE LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 237 OAKLAND ST
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City | TRENTON
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State | NJ
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Zip | 08618-3547
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Country | US
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Telephone | 480-213-9337
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Fax | 732-747-6001
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Provider Business Mailing Address
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Address Line | 1684 OLD TRENTON RD
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City | WEST WINDSOR
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State | NJ
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Zip | 08550-3205
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Country | US
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Telephone | 480-213-9337
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Fax | 732-747-6001
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. NORMY DESSALINES
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Credential | MD
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Telephone | 480-213-9337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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