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General NPI Number Information
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NPI Number | 1255220711
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Entity Type | Organization
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Legal Business Name | YOLANDA ALONZO'S LOVE INC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 376 BROAD ST
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City | NEWARK
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State | NJ
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Zip | 07104-3309
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Country | US
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Telephone | 862-576-8888
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Fax | 862-367-7777
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Provider Business Mailing Address
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Address Line | 376 BROAD ST
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City | NEWARK
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State | NJ
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Zip | 07104-3309
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Country | US
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Telephone | 862-576-8888
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Fax | 862-367-7777
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. RUKMINI ALONZO
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Credential |
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Telephone | 862-576-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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