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NPI 1508365537

NPI 1508365537 : LETS WORK FOR GOOD INC : EAST BRUNSWICK, NJ

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General NPI Number Information
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    NPI Number           |    1508365537
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    Entity Type          |    Organization 
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    Legal Business Name  |    LETS WORK FOR GOOD INC 
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Dates
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    Enumeration Date     |    02/05/2018
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    Last Update Date     |    02/05/2018
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Provider Practice Location Address
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    Address Line         |    11 HARTS LN 
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    City                 |    EAST BRUNSWICK
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    State                |    NJ
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    Zip                  |    08816-2040
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    Country              |    US
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    Telephone            |    732-570-0506
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5 THEODORE DR 
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    City                 |    EAST BRUNSWICK
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    State                |    NJ
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    Zip                  |    08816-2952
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    Country              |    US
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    Telephone            |    201-621-2246
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BARBIE  ZIMMERMAN-BIER 
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    Credential           |    M.D.
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    Telephone            |    201-621-2246
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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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