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General NPI Number Information
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NPI Number | 1730429861
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Entity Type | Organization
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Legal Business Name | HOPEWELL CREST SCHOOL
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 122 SEWALL RD
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City | BRIDGETON
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State | NJ
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Zip | 08302-5723
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Country | US
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Telephone | 856-451-9203
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Fax |
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Provider Business Mailing Address
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Address Line | 122 SEWALL RD
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City | BRIDGETON
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State | NJ
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Zip | 08302-5723
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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 | SCHOOL BOARD ADMINISTRATOR
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Name | MRS. STEPHANIE KUNTZ
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Credential |
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Telephone | 856-451-9203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 251300000X
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License Number State | NJ
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