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General NPI Number Information
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NPI Number | 1275013708
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Entity Type | Organization
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Legal Business Name | AFFECTION MATTERS LLC
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 1510 BLACKWOOD CLEMENTON RD
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City | BLACKWOOD
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State | NJ
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Zip | 08012-4626
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Country | US
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Telephone | 856-397-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 BLACKWOOD CLEMENTON RD
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City | BLACKWOOD
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State | NJ
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Zip | 08012-4626
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Country | US
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Telephone | 856-397-6118
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Fax |
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Authorized Official
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Title or Position | COO
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Name | SILVA TENDIA MUNUZA
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Credential |
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Telephone | 856-397-6118
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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 | 0450297075
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License Number State | NJ
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