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General NPI Number Information
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NPI Number | 1255693586
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Entity Type | Organization
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Legal Business Name | KINGDOM LIVING
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 119 WINDSOR DR
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City | SWEDESBORO
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State | NJ
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Zip | 08085-2519
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Country | US
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Telephone | 215-681-0806
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Fax |
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Provider Business Mailing Address
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Address Line | 119 WINDSOR DR
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City | SWEDESBORO
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State | NJ
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Zip | 08085-2519
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Country | US
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Telephone | 215-681-0806
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. PAUL AZZINARO
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Credential |
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Telephone | 215-681-0806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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