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General NPI Number Information
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NPI Number | 1356747521
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Entity Type | Organization
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Legal Business Name | LUTHERAN SOCIAL MINISTRIES OF NEW JERSEY, INC.
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3 MANHATTAN DR
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City | BURLINGTON
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State | NJ
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Zip | 08016-4119
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Country | US
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Telephone | 609-386-7171
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Fax | 609-386-7191
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Provider Business Mailing Address
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Address Line | 3 MANHATTAN DR
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City | BURLINGTON
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State | NJ
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Zip | 08016-4119
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Country | US
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Telephone | 609-781-1379
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Fax | 609-386-7191
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. COLLEEN FRANKENFIELD
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Credential | M.S., J.D.
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Telephone | 484-680-0612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 17LK15C
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 17LK15C
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License Number State | NJ
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