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General NPI Number Information
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NPI Number | 1366537185
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL CARE FOR CHILDREN
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 11 INDEPENDENCE WAY
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City | NEWARK
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State | DE
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Zip | 19713
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Country | US
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Telephone | 302-894-1001
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Fax | 302-456-0477
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Provider Business Mailing Address
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Address Line | 11 INDEPENDENCE WAY
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City | NEWARK
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State | DE
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Zip | 19713
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Country | US
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Telephone | 302-894-1001
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Fax | 302-456-0477
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOHN LEE WHITE
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Credential | LNHA
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Telephone | 302-894-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1967
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License Number State | DE
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