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General NPI Number Information
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NPI Number | 1467246348
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Entity Type | Organization
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Legal Business Name | RAISING WARRIORS PROGRAM
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 233 GRIFFITH ST APT A
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City | JERSEY CITY
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State | NJ
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Zip | 07307-3609
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Country | US
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Telephone | 908-752-3633
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Fax |
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Provider Business Mailing Address
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Address Line | 233 GRIFFITH ST APT A
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City | JERSEY CITY
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State | NJ
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Zip | 07307-3609
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Country | US
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Telephone | 908-752-3633
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | LISA LOCASCIO
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Credential | BCBA
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Telephone | 908-752-3633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 225800000X
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Taxonomy Name | Recreation Therapist
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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