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General NPI Number Information
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NPI Number | 1508992850
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Entity Type | Organization
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Legal Business Name | CUMBERLAND COUNTY OFFICE ON AGING
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 154 SUNNY SLOPE DR
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City | BRIDGETON
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State | NJ
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Zip | 08302-5732
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Country | US
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Telephone | 856-455-8000
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Fax | 856-453-7863
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Provider Business Mailing Address
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Address Line | 790 E COMMERCE ST
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City | BRIDGETON
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State | NJ
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Zip | 08302-2269
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Country | US
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Telephone | 856-453-2220
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Fax | 856-455-1029
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MISONO I MILLER
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Credential |
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Telephone | 856-453-2222
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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 | 080672
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License Number State | NJ
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