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General NPI Number Information
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NPI Number | 1770119547
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS ADULT SUPPORTIVE SERVICES & CARE, INC.
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 712 NEWARK AVE
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City | ELIZABETH
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State | NJ
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Zip | 07208-3540
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Country | US
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Telephone | 908-353-3530
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Fax | 908-353-3529
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Provider Business Mailing Address
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Address Line | 712 NEWARK AVE
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City | ELIZABETH
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State | NJ
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Zip | 07208-3540
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Country | US
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Telephone | 908-353-3530
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Fax | 908-353-3529
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ILIA E FUSTER
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Credential |
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Telephone | 732-801-8938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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