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General NPI Number Information
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NPI Number | 1740934819
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Entity Type | Organization
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Legal Business Name | ADULT COMMUNITY ENGAGEMENT SERVICES, INC.
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 110 BLOOMFIELD AVE
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City | CALDWELL
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State | NJ
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Zip | 07006-5336
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Country | US
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Telephone | 973-228-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 110 BLOOMFIELD AVE
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City | CALDWELL
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State | NJ
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Zip | 07006-5336
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Country | US
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Telephone | 973-228-2800
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTO
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Name | CASI M HEALEY
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Credential |
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Telephone | 973-228-2800
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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 |
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License Number State |
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