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General NPI Number Information
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NPI Number | 1538716246
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Entity Type | Organization
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Legal Business Name | SAM'S HOPE, INCORPORATED
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 3 KNOWLTON RD
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City | COLUMBIA
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State | NJ
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Zip | 07832-2207
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Country | US
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Telephone | 908-343-4960
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Fax |
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Provider Business Mailing Address
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Address Line | 27 FOUR CORNERS RD
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City | BLAIRSTOWN
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State | NJ
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Zip | 07825-2402
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Country | US
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Telephone | 908-343-4960
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CINDY PENNA
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Credential |
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Telephone | 908-343-4960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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