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General NPI Number Information
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NPI Number | 1710897160
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Entity Type | Organization
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Legal Business Name | HIJOS DE DIOS LEARNING CENTER
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 535 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514-2520
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Country | US
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Telephone | 551-556-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 535 BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07514-2520
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Country | US
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Telephone | 551-556-7873
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MIGUEL GRULLON
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Credential |
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Telephone | 551-556-7873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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