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General NPI Number Information
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NPI Number | 1225929037
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Entity Type | Organization
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Legal Business Name | THRIVE TOGETHER SUPPORT HOMES LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 118 S JACKSON ST
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City | WOODBURY
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State | NJ
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Zip | 08096-2353
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Country | US
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Telephone | 877-706-8290
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Fax | 877-970-2871
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Provider Business Mailing Address
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Address Line | 517 MONMOUTH AVE
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City | LINDEN
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State | NJ
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Zip | 07036-2809
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Country | US
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Telephone | 215-767-5744
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DOMINIQUE MOLLETTA
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Credential |
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Telephone | 866-514-7553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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