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General NPI Number Information
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NPI Number | 1740850023
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Entity Type | Organization
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Legal Business Name | VEREEN RIVER COMMUNITY SERVICES
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 199 JOHNSON AVENUE
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648
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Country | US
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Telephone | 609-954-5275
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Fax |
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Provider Business Mailing Address
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Address Line | 20 GLENWOOD AVENUE
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City | TRENTON
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State | NJ
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Zip | 08618
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Country | US
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Telephone | 609-954-5275
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. DONALD VEREEN
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Credential |
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Telephone | 609-954-5275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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