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General NPI Number Information
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NPI Number | 1477065894
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Entity Type | Organization
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Legal Business Name | THE ARC OF MONMOUTH, INC.
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 36 COUNTRY CLUB ROAD APT. 249
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-544-5596
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Fax | 732-544-1641
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Provider Business Mailing Address
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Address Line | 1158 WAYSIDE ROAD
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City | TINTON FALLS
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-493-1919
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Fax | 732-493-3604
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBERT ANGEL
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Credential |
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Telephone | 732-493-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | SA196
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License Number State | NJ
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