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General NPI Number Information
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NPI Number | 1740472547
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Entity Type | Organization
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Legal Business Name | THE ARC OF SOMERSET
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 141 S MAIN ST
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City | MANVILLE
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State | NJ
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Zip | 08835-1803
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Country | US
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Telephone | 908-725-8544
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Fax | 908-704-0850
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Provider Business Mailing Address
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Address Line | 141 S MAIN ST
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City | MANVILLE
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State | NJ
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Zip | 08835-1803
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Country | US
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Telephone | 908-725-8544
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Fax | 908-704-0850
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LAUREN PANARELLA
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Credential | MA, LRC
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Telephone | 908-725-8544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 37RC00102400
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License Number State | NJ
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