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General NPI Number Information
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NPI Number | 1679399836
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Entity Type | Organization
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Legal Business Name | ATLANTIC CARE HOSPITAL
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 6550 DELILAH RD STE 301
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City | EGG HARBOR TWP
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State | NJ
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Zip | 08234-5102
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Country | US
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Telephone | 609-573-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 DELILAH RD STE 301
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City | EGG HARBOR TWP
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State | NJ
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Zip | 08234-5102
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Country | US
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Telephone | 609-573-1251
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Fax |
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Authorized Official
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Title or Position | RECOVERY SPECIALIST
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Name | SANDRA MILENA CHAVEZ
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Credential | CPRS
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Telephone | 609-573-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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