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General NPI Number Information
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NPI Number | 1235548470
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Entity Type | Organization
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Legal Business Name | ADVANCED BEHAVIORAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1 S MAIN ST STE A1
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City | SOUTH TOMS RIVER
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State | NJ
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Zip | 08757-5159
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Country | US
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Telephone | 732-961-9666
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Fax | 732-961-1125
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Provider Business Mailing Address
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Address Line | 501 PROSPECT ST UNIT 8
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5071
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Country | US
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Telephone | 732-961-9666
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Fax | 732-961-1125
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOHANAN DANZIGER
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Credential |
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Telephone | 732-620-6116
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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 | 100130105
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License Number State | NJ
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