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General NPI Number Information
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NPI Number | 1336363514
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Entity Type | Organization
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Legal Business Name | HUNTERDON PREVENTION RESOURCES
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4 WALTER E FORAN BLVD SUITE 410
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4664
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Country | US
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Telephone | 908-782-3909
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Fax | 908-782-6025
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Provider Business Mailing Address
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Address Line | 4 WALTER E FORAN BLVD SUITE 410
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4664
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Country | US
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Telephone | 908-782-3909
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Fax | 908-782-6025
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KAREN WIDICO
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Credential | MSW,CPS
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Telephone | 908-782-3909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | NJ
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