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General NPI Number Information
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NPI Number | 1710307145
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S INSTITUTE
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 6 REGENT ST
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1636
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Country | US
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Telephone | 973-509-3050
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Fax | 973-509-0183
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Provider Business Mailing Address
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Address Line | 1 SUNSET AVE
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City | VERONA
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State | NJ
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Zip | 07044-5118
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Country | US
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Telephone | 973-509-3050
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Fax | 973-509-0183
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Authorized Official
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Title or Position | BUISNESS MANAGER
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Name | MRS. JEANINE MURRAY
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Credential | MBA
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Telephone | 973-509-3050
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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 | 221500528A
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License Number State | NJ
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