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General NPI Number Information
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NPI Number | 1497977870
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Entity Type | Organization
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Legal Business Name | GENERATIONS PLUS, LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 7905 BROWNING RD SUITE 220
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-4323
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Country | US
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Telephone | 856-317-1910
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Fax | 856-317-1926
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Provider Business Mailing Address
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Address Line | 7905 BROWNING RD SUITE 220
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-4323
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Country | US
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Telephone | 856-317-1910
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Fax | 856-317-1926
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MR. MOSHE CULANG
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Credential |
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Telephone | 856-317-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 96058109
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License Number State | NJ
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