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General NPI Number Information
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NPI Number | 1376267625
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Entity Type | Organization
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Legal Business Name | CIRCLE HAVEN, INC.
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 369 STAMETS RD
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City | MILFORD
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State | NJ
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Zip | 08848-2215
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Country | US
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Telephone | 908-836-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 369 STAMETS RD
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City | MILFORD
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State | NJ
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Zip | 08848-2215
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Country | US
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Telephone | 908-836-4777
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Fax | 973-544-9616
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ABBE GREENBERG
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Credential | LSW
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Telephone | 201-394-6738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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