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General NPI Number Information
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NPI Number | 1316890650
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Entity Type | Organization
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Legal Business Name | THEE PROGRAM FOUNDATION
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 221 OSWALD PL
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City | VAUXHALL
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State | NJ
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Zip | 07088-1322
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Country | US
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Telephone | 908-536-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 634 BUCHANAN ST
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City | HILLSIDE
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State | NJ
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Zip | 07205-1705
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Country | US
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Telephone | 908-536-1919
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Fax |
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Authorized Official
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Title or Position | CEO/PRES.
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Name | RAPHAEL LEE
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Credential |
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Telephone | 908-536-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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