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General NPI Number Information
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NPI Number | 1689559965
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Entity Type | Organization
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Legal Business Name | MORNING STAR SUPPORTIVE SERVICES CORPORATION
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 80 COTTONTAIL LN # 308
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City | SOMERSET
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State | NJ
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Zip | 08873-1100
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Country | US
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Telephone | 862-588-6541
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Fax |
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Provider Business Mailing Address
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Address Line | 80 COTTONTAIL LN # 308
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City | SOMERSET
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State | NJ
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Zip | 08873-1100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HALIMAT AKANBI
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Credential |
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Telephone | 551-312-8522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 385HR2050X
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Taxonomy Name | Respite Care Camp
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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 | 385HR2055X
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Taxonomy Name | Child Mental Illness 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 | 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 #6
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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