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NPI 1396026985

NPI 1396026985 : TINY VOICES BIG WORDS, LLC : LIVINGSTON, NJ

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General NPI Number Information
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    NPI Number           |    1396026985
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    Entity Type          |    Organization 
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    Legal Business Name  |    TINY VOICES BIG WORDS, LLC 
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Dates
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    Enumeration Date     |    09/08/2011
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    Last Update Date     |    01/23/2013
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Provider Practice Location Address
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    Address Line         |    25 E NORTHFIELD RD 
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    City                 |    LIVINGSTON
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    State                |    NJ
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    Zip                  |    07039-4531
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    Country              |    US
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    Telephone            |    973-462-2295
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    Fax                  |    973-507-9124
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Provider Business Mailing Address
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    Address Line         |    PO BOX 508 
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    City                 |    FLORHAM PARK
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    State                |    NJ
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    Zip                  |    07932-0508
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    Country              |    US
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    Telephone            |    973-462-2295
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    Fax                  |    973-507-9124
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHANNON  FERA 
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    Credential           |    
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    Telephone            |    973-462-2295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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