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General NPI Number Information
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NPI Number | 1689409450
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Entity Type | Organization
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Legal Business Name | NO PLACE LIKE HOME NEW JERSEY
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2627 W OXFORD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-2843
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Country | US
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Telephone | 215-399-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 W OXFORD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-2843
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Country | US
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Telephone | 215-399-7200
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MRS. VERNE DIXON
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Credential |
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Telephone | 215-399-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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