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General NPI Number Information
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NPI Number | 1649948126
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Entity Type | Organization
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Legal Business Name | GLOUCESTER COUNTY SPECIAL SERVICES SCHOOL DISTRICT
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1474 TANYARD ROAD
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-566-6265
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Fax |
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Provider Business Mailing Address
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Address Line | 1474 TANYARD RD STE E102
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City | SEWELL
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State | NJ
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Zip | 08080-4222
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Country | US
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Telephone | 856-912-5476
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHLEEN MONTI
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Credential |
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Telephone | 856-415-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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