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General NPI Number Information
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NPI Number | 1285270553
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Entity Type | Organization
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Legal Business Name | LOVING ANGELS NETWORK
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 14 BIRCH AVE STE A
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City | WESTVILLE
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State | NJ
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Zip | 08093-1101
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Country | US
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Telephone | 856-361-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 1977 N OLDEN AVENUE EXT STE 207
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City | EWING
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State | NJ
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Zip | 08618-2113
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Country | US
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Telephone | 856-361-3772
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Fax |
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Authorized Official
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Title or Position | SERVICE COORDINATOR SUPERVISOR
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Name | TILIKA GRIFFIN
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Credential | ADS, MAJ
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Telephone | 856-361-3772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 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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