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General NPI Number Information
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NPI Number | 1790120442
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Entity Type | Organization
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Legal Business Name | KEEP IT TOGETHER, LLC
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 4703 BOXWOOD PLACE
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City | MAYS LANDING
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State | NJ
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Zip | 08330
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Country | US
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Telephone | 609-625-1103
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Fax |
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Provider Business Mailing Address
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Address Line | 4703 BOXWOOD PLACE
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City | MAYS LANDING
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State | NJ
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Zip | 08330
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Country | US
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Telephone | 609-625-1103
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. OTERO DOLORES JONES
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Credential | L.C.S.W.
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Telephone | 609-625-1103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SC00127900
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License Number State | NJ
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