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General NPI Number Information
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NPI Number | 1649445909
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Entity Type | Organization
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Legal Business Name | PLEASANTECH ACADEMY CHARTER SCHOOL
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 700 BLACK HORSE PIKE
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City | PLEASANTVILLE
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State | NJ
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Zip | 08330
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Country | US
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Telephone | 609-383-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 700 BLACK HORSE PIKE
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City | PLEASANTVILLE
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State | NJ
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Zip | 08330
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Country | US
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Telephone | 609-383-1717
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Fax |
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | MS. CHARMETTE LONG-VERNON
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Credential | MBA
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Telephone | 609-383-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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