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General NPI Number Information
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NPI Number | 1457155970
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Entity Type | Organization
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Legal Business Name | THE POTENTIAL IN US LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 59 N BROAD ST FL 1
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City | WOODBURY
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State | NJ
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Zip | 08096-4666
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Country | US
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Telephone | 856-537-5975
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Fax |
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Provider Business Mailing Address
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Address Line | 59 N BROAD ST FL 1
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City | WOODBURY
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State | NJ
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Zip | 08096-4666
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Country | US
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Telephone | 856-537-5975
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANITA BARRINGER
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Credential |
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Telephone | 973-412-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 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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