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General NPI Number Information
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NPI Number | 1780493288
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Entity Type | Organization
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Legal Business Name | DESIGNED TO GROW
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 238 AYCRIGG AVE APT F
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City | PASSAIC
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State | NJ
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Zip | 07055-4727
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Country | US
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Telephone | 646-591-7206
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Fax |
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Provider Business Mailing Address
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Address Line | 238 AYCRIGG AVE APT F
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City | PASSAIC
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State | NJ
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Zip | 07055-4727
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Country | US
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Telephone | 646-591-7206
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ARIELLA NEUMAN
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Credential | OTR/L
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Telephone | 646-591-7206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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