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General NPI Number Information
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NPI Number | 1285116459
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Entity Type | Organization
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Legal Business Name | QMANJ, INC
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 1158 BIBBS RD APT 2
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City | VOORHEES
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State | NJ
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Zip | 08043-2124
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Country | US
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Telephone | 856-735-1011
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Fax | 856-727-8899
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Provider Business Mailing Address
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Address Line | 700 CINNAMINSON AVE BLDG B
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City | PALMYRA
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State | NJ
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Zip | 08065-2500
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Country | US
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Telephone | 856-735-1034
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DONALD BARNES
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Credential |
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Telephone | 856-735-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | NJ
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