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General NPI Number Information
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NPI Number | 1528911633
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Entity Type | Organization
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Legal Business Name | LEGACY TREATMENT SERVICES
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 96 HAWTHORNE LN
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City | WILLINGBORO
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State | NJ
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Zip | 08046-1777
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Country | US
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Telephone | 800-433-7365
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Fax |
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Provider Business Mailing Address
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Address Line | 1289 ROUTE 38 STE 203
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City | HAINESPORT
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State | NJ
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Zip | 08036-2730
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Country | US
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Telephone | 215-750-4244
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Fax |
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Authorized Official
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Title or Position | VP OF ADMINISTRATION
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Name | MARY E ANGELINI
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Credential |
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Telephone | 215-750-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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