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General NPI Number Information
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NPI Number | 1447313861
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Entity Type | Organization
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Legal Business Name | HUNTERDON DRUG AWARENESS PROGRAM, INC.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 8 MAIN ST STE 7
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1468
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Country | US
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Telephone | 908-788-1900
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Fax | 908-788-3836
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Provider Business Mailing Address
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Address Line | 8 MAIN ST STE 7
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1468
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Country | US
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Telephone | 908-788-1900
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Fax | 908-788-3836
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GLENN DUNCAN
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Credential | LPC, LCADC, CCS, ACS
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Telephone | 908-788-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 2000184
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License Number State | NJ
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