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General NPI Number Information
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NPI Number | 1306978002
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Entity Type | Organization
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Legal Business Name | COLLIER SERVICES INC.
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 180 SPRING ST
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City | RED BANK
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State | NJ
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Zip | 07701-2229
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Country | US
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Telephone | 732-946-4771
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SPRING ST
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City | RED BANK
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State | NJ
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Zip | 07701-2229
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Country | US
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Telephone | 732-946-4771
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEBORAH M DRAGO
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Credential |
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Telephone | 732-946-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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