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General NPI Number Information
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NPI Number | 1447171418
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Entity Type | Organization
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Legal Business Name | I AM UNIQUE A SELF RESTORATION WORKSHOP
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 3201 ROUTE 38 STE 103
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-9750
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Country | US
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Telephone | 609-533-5643
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 ROUTE 38 STE 103
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-9750
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Country | US
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Telephone | 908-386-1162
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Fax |
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | DR. ASHANA EVETTE WILLIAMS-BUSH
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Credential | DOCTORATE DEGREE
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Telephone | 609-526-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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