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General NPI Number Information
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NPI Number | 1780453696
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Entity Type | Organization
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Legal Business Name | INCLUSIVE BEGINNINGS LLC
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 145 MORTIMER AVE
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City | RUTHERFORD
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State | NJ
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Zip | 07070-1614
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Country | US
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Telephone | 201-514-6835
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Fax | 201-266-9609
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Provider Business Mailing Address
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Address Line | 215 WOODWARD AVE
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City | RUTHERFORD
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State | NJ
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Zip | 07070-2245
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Country | US
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Telephone | 201-514-6835
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YISELLE ENTENZA
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Credential |
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Telephone | 786-234-5646
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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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