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General NPI Number Information
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NPI Number | 1811850316
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Entity Type | Organization
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Legal Business Name | CHRISTIAN CARING CENTER PEMBERTON INC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 378 LAKEHURST RD
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City | BROWNS MILLS
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State | NJ
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Zip | 08015-6828
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Country | US
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Telephone | 609-893-0700
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Fax | 609-893-1880
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Provider Business Mailing Address
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Address Line | PO BOX 385
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City | PEMBERTON
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State | NJ
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Zip | 08068-0385
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Country | US
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Telephone | 609-893-0700
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Fax | 609-893-1880
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Authorized Official
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Title or Position | OUTREACH CASE MANAGER
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Name | MRS. LAURA KEUBLER
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Credential | BHS
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Telephone | 609-893-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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