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General NPI Number Information
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NPI Number | 1629902358
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Entity Type | Organization
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Legal Business Name | NURTURED NJ LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 80 JEFFERSON BLVD
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City | EDISON
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State | NJ
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Zip | 08817-3539
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Country | US
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Telephone | 732-336-0338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8111
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City | PISCATAWAY
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State | NJ
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Zip | 08855-8008
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Country | US
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Telephone | 732-336-1908
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. TAMIRAH GOODE
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Credential |
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Telephone | 732-336-0338
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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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