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General NPI Number Information
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NPI Number | 1477011021
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Entity Type | Organization
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Legal Business Name | PERSON FIRST, NEW JERSEY, LLC
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Dates
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Enumeration Date | 03/03/2019
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 858 S WHITE HORSE PIKE STE B1
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City | HAMMONTON
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State | NJ
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Zip | 08037-2031
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Country | US
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Telephone | 609-481-2729
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Fax | 609-651-4376
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Provider Business Mailing Address
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Address Line | 14 HEGGAN LN
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City | HAMMONTON
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State | NJ
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Zip | 08037-9502
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Country | US
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Telephone | 609-249-6151
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Fax | 609-651-4376
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | FRANCIS NKAM
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Credential |
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Telephone | 609-481-2729
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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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