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General NPI Number Information
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NPI Number | 1679124424
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Entity Type | Organization
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Legal Business Name | NORTHERN REGION EDUCATIONAL SERVICES COMMISSION
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 515 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2582
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Country | US
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Telephone | 973-614-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 515 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2582
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Country | US
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Telephone | 973-614-8585
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Fax |
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Authorized Official
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Title or Position | CHIEF SCHOOL ADMINISTRATOR
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Name | DR. NICHOLAS V. VANCHERI
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Credential |
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Telephone | 973-614-8585
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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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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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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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