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General NPI Number Information
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NPI Number | 1780440297
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Entity Type | Organization
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Legal Business Name | JONES & TAYLOR LIFECARE CONNECTIONS
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 519 N WEST AVE
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City | VINELAND
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State | NJ
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Zip | 08360-3510
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Country | US
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Telephone | 856-723-4965
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Fax | 609-547-5467
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Provider Business Mailing Address
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Address Line | 28 S CEDAR BROOK RD
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-3700
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Country | US
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Telephone | 856-526-1779
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Fax | 609-547-5467
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. REGINALD MAURICE JONES
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Credential |
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Telephone | 848-205-5732
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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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