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General NPI Number Information
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NPI Number | 1518613744
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Entity Type | Organization
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Legal Business Name | ENCEPTION HEALTH, LLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 77 MILLTOWN RD STE C3
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2302
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Country | US
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Telephone | 908-858-7883
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Fax |
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Provider Business Mailing Address
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Address Line | 64 LIBERTY ST
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5502
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Country | US
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Telephone | 732-403-0773
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Fax |
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Authorized Official
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Title or Position | CHIEF ADVOCACY OFFICER
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Name | MS. MARCELLA F JONES
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Credential | MSN, RN, CEN
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Telephone | 732-403-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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