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General NPI Number Information
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NPI Number | 1487454021
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Entity Type | Organization
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Legal Business Name | SPECIALTY LOGISTICS MANAGEMENT LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2821 HADDONFIELD RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1108
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Country | US
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Telephone | 856-258-0594
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Fax | 856-961-5211
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Provider Business Mailing Address
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Address Line | 2821 HADDONFIELD RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1108
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Country | US
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Telephone | 856-258-0594
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Fax | 856-961-5211
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Authorized Official
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Title or Position | ACCOUNTS ADMINISTRATOR
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Name | ASHLEY D JONES
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Credential |
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Telephone | 856-493-0223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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