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General NPI Number Information
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NPI Number | 1235306903
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Entity Type | Organization
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Legal Business Name | LITTLE HILL FOUNDATION
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 61 WARD RD
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City | HARDWICK
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State | NJ
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Zip | 07825-9636
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Country | US
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Telephone | 908-362-6114
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Fax | 908-362-7569
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Provider Business Mailing Address
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Address Line | PO BOX G 61 WARD ROAD
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City | BLAIRSTOWN
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State | NJ
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Zip | 07825-0966
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Country | US
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Telephone | 908-362-6114
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Fax | 908-362-7569
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | DONALD A YURGA
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Credential |
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Telephone | 908-362-6114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 31030
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License Number State | NJ
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