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General NPI Number Information
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NPI Number | 1568391464
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Entity Type | Organization
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Legal Business Name | MYSAFENESTLIVING LLC
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 251 OAK FOREST DR
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City | BRICK
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State | NJ
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Zip | 08724-0713
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Country | US
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Telephone | 469-567-9994
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Fax |
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Provider Business Mailing Address
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Address Line | 251 OAK FOREST DR
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City | BRICK
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State | NJ
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Zip | 08724-0713
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Country | US
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Telephone | 469-567-9994
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Fax | 469-567-9994
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Authorized Official
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Title or Position | DIRECTOR
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Name | IZABELA I FRATTAROLI
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Credential | FRATTAROLI
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Telephone | 469-567-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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