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General NPI Number Information
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NPI Number | 1548646342
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Entity Type | Organization
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Legal Business Name | ENLIGHTENED SOLUTIONS
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 501 TILTON RD
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City | EGG HARBOR CITY
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State | NJ
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Zip | 08215-5125
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Country | US
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Telephone | 609-270-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 501 TILTON RD
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City | EGG HARBOR CITY
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State | NJ
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Zip | 08215-5125
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Country | US
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Telephone | 609-823-9300
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Fax | 609-823-9505
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. JENNIFER HANSEN
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Credential |
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Telephone | 609-270-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | NJ
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