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General NPI Number Information
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NPI Number | 1356872311
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Entity Type | Organization
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Legal Business Name | THE LEARNING CENTER
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 199 SCOLES AVE
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City | CLIFTON
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State | NJ
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Zip | 07012-1125
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Country | US
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Telephone | 973-685-9554
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Fax | 973-685-9556
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Provider Business Mailing Address
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Address Line | 199 SCOLES AVE
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City | CLIFTON
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State | NJ
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Zip | 07012-1125
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Country | US
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Telephone | 973-685-9554
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Fax | 973-685-9556
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MR. SACHA MAXIMILIEN POULIOT
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Credential | M.S.
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Telephone | 201-341-2339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | NJ
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