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NPI 1366803975

NPI 1366803975 : THE ARC OF SOMERSET COUNTY, INC. : HILLSBOROUGH, NJ

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General NPI Number Information
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    NPI Number           |    1366803975
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE ARC OF SOMERSET COUNTY, INC. 
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Dates
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    Enumeration Date     |    03/09/2016
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    Last Update Date     |    02/11/2020
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Provider Practice Location Address
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    Address Line         |    3 JILL CT BUILDING 15, DOOR 11
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    City                 |    HILLSBOROUGH
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    State                |    NJ
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    Zip                  |    08844-1901
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    Country              |    US
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    Telephone            |    908-431-0052
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    Fax                  |    908-431-0059
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Provider Business Mailing Address
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    Address Line         |    141 S MAIN ST 
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    City                 |    MANVILLE
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    State                |    NJ
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    Zip                  |    08835-1803
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    Country              |    US
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    Telephone            |    908-725-8544
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    Fax                  |    908-704-0850
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     LAUREN  PANARELLA 
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    Credential           |    
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    Telephone            |    908-725-8544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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 |    
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