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General NPI Number Information
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NPI Number | 1811472905
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Entity Type | Organization
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Legal Business Name | INFINITE POSSIBILITIES FOR GROWTH LLC
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 343 OLD GEORGES ROAD SUITE 101
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 201-754-8450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3111
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3061
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Country | US
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Telephone | 201-754-8450
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Fax | 844-383-2420
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | ASLAM ALI
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Credential |
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Telephone | 201-754-8450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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