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General NPI Number Information
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NPI Number | 1417727439
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Entity Type | Organization
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Legal Business Name | PRICE SOCIAL SERVICES, INC.
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 301 E SOMERDALE RD
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City | SOMERDALE
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State | NJ
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Zip | 08083-1107
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Country | US
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Telephone | 609-651-7904
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Fax | 856-229-7158
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Provider Business Mailing Address
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Address Line | 130 TIFFANY LN
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City | WILLINGBORO
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State | NJ
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Zip | 08046-3852
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Country | US
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Telephone | 609-877-0987
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERYL L AVENTPRICE
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Credential | MA M.ABA
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Telephone | 856-528-5130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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