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General NPI Number Information
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NPI Number | 1679222673
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Entity Type | Organization
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Legal Business Name | PURPOSE HUMAN SERVICES
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 91 RIDGEWOOD WAY
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City | BURLINGTON
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State | NJ
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Zip | 08016-4263
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Country | US
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Telephone | 732-213-8692
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Fax |
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Provider Business Mailing Address
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Address Line | 91 RIDGEWOOD WAY
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City | BURLINGTON
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State | NJ
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Zip | 08016-4263
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Country | US
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Telephone | 732-213-8692
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Fax |
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Authorized Official
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Title or Position | CO-COORDINATOR
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Name | LYNETTE VERA GOERGE
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Credential |
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Telephone | 732-213-8692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #6
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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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