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General NPI Number Information
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NPI Number | 1740604925
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 10 SOUTHARD ST
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City | TRENTON
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State | NJ
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Zip | 08609-1020
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Country | US
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Telephone | 609-984-9042
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Fax | 609-599-1708
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Provider Business Mailing Address
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Address Line | 383 W STATE ST
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City | TRENTON
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State | NJ
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Zip | 08618-5705
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Country | US
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Telephone | 609-984-9042
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Fax | 609-599-1708
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARLENE LAO-COLLINS
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Credential |
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Telephone | 609-984-9042
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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 | LSW#44SL05693600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LCADC# 37LC00200900
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License Number State | NJ
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