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General NPI Number Information
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NPI Number | 1447701834
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Entity Type | Organization
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Legal Business Name | FUTURE PROJECT
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 155 UNION AVE
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City | PATERSON
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State | NJ
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Zip | 07502-1852
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Country | US
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Telephone | 973-768-6098
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Fax |
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Provider Business Mailing Address
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Address Line | 672 US HIGHWAY 202/206
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1747
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Country | US
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Telephone | 973-768-6098
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ANDRE L GREER
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Credential | MSW
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Telephone | 973-768-6098
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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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