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General NPI Number Information
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NPI Number | 1811892193
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Entity Type | Organization
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Legal Business Name | NEW LIFE GROUP NJ LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 521 SICKLERVILLE RD STE 1A
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-2636
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Country | US
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Telephone | 609-807-2483
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Fax | 609-807-2488
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Provider Business Mailing Address
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Address Line | 521 SICKLERVILLE RD STE 1A
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-2636
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Country | US
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Telephone | 609-913-7188
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Fax | 609-807-2488
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Authorized Official
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Title or Position | CEO
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Name | MR. SETH Z TAYLOR
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Credential |
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Telephone | 609-433-5506
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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 | NULL
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