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General NPI Number Information
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NPI Number | 1528994456
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Entity Type | Organization
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Legal Business Name | UPSTART CONSTRUCTION LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 174 OVERMOUNT AVE
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3241
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Country | US
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Telephone | 862-686-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 174 OVERMOUNT AVE
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3241
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Country | US
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Telephone | 862-686-2345
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DEMETRIUS CORNELIUS DACRES
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Credential | EDD
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Telephone | 862-686-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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