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General NPI Number Information
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NPI Number | 1346045226
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Entity Type | Organization
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Legal Business Name | AT PEACE CARE, LLC
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Dates
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Enumeration Date | 02/15/2025
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 574 GREAT BEDS CT
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-5203
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Country | US
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Telephone | 732-213-2749
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Fax | 609-374-9166
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Provider Business Mailing Address
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Address Line | 574 GREAT BEDS CT
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-5203
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Country | US
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Telephone | 732-213-2749
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Fax | 609-374-9166
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Authorized Official
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Title or Position | BCBA
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Name | MRS. TALIA DANESHA CALLAWAY
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Credential | BCBA
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Telephone | 609-402-2720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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