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General NPI Number Information
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NPI Number | 1306269204
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Entity Type | Organization
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Legal Business Name | POSITIVE HEALTH CARE, INC.
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 333 WASHINGTON ST
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City | NEWARK
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State | NJ
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Zip | 07102-2658
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Country | US
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Telephone | 973-596-6997
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Fax |
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Provider Business Mailing Address
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Address Line | 333 WASHINGTON ST
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City | NEWARK
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State | NJ
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Zip | 07102-2658
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GRANTS OFFICER
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Name | MS. AL-BAYYINAH SLOANE
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Credential |
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Telephone | 973-596-9667
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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