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General NPI Number Information
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NPI Number | 1598653032
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Entity Type | Organization
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Legal Business Name | RADIANT PATHWAYS LEARNING CENTER
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1244 W FARMS RD
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City | HOWELL
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State | NJ
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Zip | 07731-1260
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Country | US
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Telephone | 732-642-2970
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Fax |
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Provider Business Mailing Address
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Address Line | 456 HULSE AVE
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City | BRICK
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State | NJ
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Zip | 08724-2162
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Country | US
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Telephone | 848-525-6111
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNA REIMER
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Credential |
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Telephone | 848-525-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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