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General NPI Number Information
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NPI Number | 1730698143
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Entity Type | Organization
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Legal Business Name | UNITY PLACE OF MONMOUTH COUNTY
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1075 STEPHENSON AVE
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City | FORT MONMOUTH
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State | NJ
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Zip | 07703-1518
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Country | US
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Telephone | 848-208-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 821 WOODLAND DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3038
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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 | AUTHORIZED OFFICIAL
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Name | JERRY TISCHLER
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Credential |
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Telephone | 347-242-6502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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