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General NPI Number Information
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NPI Number | 1730353764
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Entity Type | Organization
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Legal Business Name | PRESTIGE EDUCATIONAL MANAGEMENT
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 4313 ROUTE 130 SUITE B-5
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City | EDGEWATER PARK
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State | NJ
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Zip | 08010-3109
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Country | US
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Telephone | 609-531-0128
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Fax | 609-877-8602
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Provider Business Mailing Address
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Address Line | 4313 ROUTE 130 SUITE B-5
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City | EDGEWATER PARK
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State | NJ
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Zip | 08010-3109
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Country | US
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Telephone | 609-531-0128
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Fax | 609-877-8602
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Authorized Official
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Title or Position | OWNER
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Name | MS. DANA KEARNEY
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Credential | DON
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Telephone | 856-264-0374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NJ
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