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General NPI Number Information
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NPI Number | 1376059709
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Entity Type | Organization
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Legal Business Name | A.D.E.P.T. PROGRAMS, INC.
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 1701 SALEM RD APT O11
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City | BURLINGTON
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State | NJ
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Zip | 08016-8117
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Country | US
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Telephone | 609-386-6367
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Fax |
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Provider Business Mailing Address
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Address Line | 111 HIGH ST
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060-1472
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Country | US
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Telephone | 609-267-8484
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | CHRISTIANA SANDERS
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Credential |
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Telephone | 609-267-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | SA079
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License Number State | NJ
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