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General NPI Number Information
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NPI Number | 1730999566
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Entity Type | Organization
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Legal Business Name | CIRCLE CARE SERVICES PA LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 100 S JUNIPER ST FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1316
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Country | US
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Telephone | 732-380-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 338 WHITESVILLE RD STE 603
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City | JACKSON
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State | NJ
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Zip | 08527-5091
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Country | US
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Telephone | 732-380-5222
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ESTHER LOWI
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Credential |
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Telephone | 732-380-5222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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