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General NPI Number Information
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NPI Number | 1437090578
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Entity Type | Organization
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Legal Business Name | AGP SUPPORT SERVICES
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 101 ROUTE 130 S STE 28
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City | CINNAMINSON
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State | NJ
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Zip | 08077-2843
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Country | US
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Telephone | 609-682-3500
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Fax | 856-390-2403
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Provider Business Mailing Address
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Address Line | 101 ROUTE 130 S STE 28
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City | CINNAMINSON
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State | NJ
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Zip | 08077-2843
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Country | US
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Telephone | 609-682-3500
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Fax | 856-390-2403
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LYNDA JEANTY-EDMOND
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Credential |
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Telephone | 609-401-7996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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