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General NPI Number Information
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NPI Number | 1275116469
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Entity Type | Organization
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Legal Business Name | ANGEL AND JULES FOR OTHERS
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 291 HAWKIN RD
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City | NEW EGYPT
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State | NJ
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Zip | 08533-2605
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Country | US
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Telephone | 732-281-7789
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Fax |
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Provider Business Mailing Address
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Address Line | 49 CEDAR DR
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City | COLTS NECK
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State | NJ
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Zip | 07722-1602
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Country | US
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Telephone | 732-281-7789
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIA CALLANO
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Credential | LPN
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Telephone | 732-281-7789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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