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General NPI Number Information
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NPI Number | 1518575596
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE EFFORT TO REINFORCE TRANSITION SUCCESS, INC
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 52 READS WAY
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City | NEW CASTLE
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State | DE
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Zip | 19720-1649
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Country | US
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Telephone | 302-731-0301
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Fax | 302-731-0201
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Provider Business Mailing Address
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Address Line | 52 READS WAY
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City | NEW CASTLE
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State | DE
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Zip | 19720-1649
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Country | US
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Telephone | 302-731-0301
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Fax | 302-731-0201
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. VIVIAN J. TURNER
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Credential | MPA
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Telephone | 302-731-0301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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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 | 225CX0006X
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Taxonomy Name | Orientation and Mobility Training Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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