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General NPI Number Information
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NPI Number | 1760804694
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Entity Type | Organization
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Legal Business Name | THE BEDROCK CLINIC & RESEARCH CENTER, INC
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Dates
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Enumeration Date | 01/12/2014
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 120 FINDERNE AVE
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-3670
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Country | US
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Telephone | 908-392-4976
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Fax | 484-377-2100
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Provider Business Mailing Address
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Address Line | 120 FINDERNE AVE
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-3670
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Country | US
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Telephone | 908-392-4976
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MELISSA ENGASSER
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Credential | BCBA
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Telephone | 908-392-4976
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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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