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General NPI Number Information
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NPI Number | 1245182005
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Entity Type | Organization
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Legal Business Name | BROAD ZERO INC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 638 N BLACK HORSE PIKE
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City | RUNNEMEDE
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State | NJ
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Zip | 08078-1362
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Country | US
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Telephone | 844-611-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 684 FOX RUN RD
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City | SEWELL
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State | NJ
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Zip | 08080-4254
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA BOLLETINO
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Credential |
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Telephone | 856-803-4083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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