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General NPI Number Information
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NPI Number | 1407457245
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Entity Type | Organization
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Legal Business Name | PARTNERS IN CHANGE
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 186 OAKMANOR PKWY
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-4923
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Country | US
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Telephone | 412-245-6740
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-0034
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Country | US
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Telephone | 412-245-6740
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Fax |
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Authorized Official
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Title or Position | OWNER/SUPPORT COORDINATOR
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Name | KIMBERLY R SOTO
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Credential | BS
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Telephone | 412-245-6740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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