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NPI 1457861684

NPI 1457861684 : HIGHPOINT DAS PROGRAM : FLEMINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1457861684
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIGHPOINT DAS PROGRAM 
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Dates
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    Enumeration Date     |    10/02/2017
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    162 BROAD ST 
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-1603
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    Country              |    US
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    Telephone            |    908-788-5979
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    Fax                  |    908-788-0960
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Provider Business Mailing Address
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    Address Line         |    1075 STEPHENSON AVE UNIT C 
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    City                 |    OCEANPORT
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    State                |    NJ
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    Zip                  |    07757-1242
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    Country              |    US
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    Telephone            |    848-208-2636
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    Fax                  |    848-208-2051
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     JERRY  TISCHLER 
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    Credential           |    
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    Telephone            |    848-208-2636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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