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General NPI Number Information
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NPI Number | 1821890625
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION RARITAN BAY AREA
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 357 NEW BRUNSWICK AVE
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3940
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Country | US
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Telephone | 732-442-3632
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 148
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City | PERTH AMBOY
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State | NJ
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Zip | 08862-0148
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Country | US
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Telephone | 732-442-3632
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Fax | 732-324-6359
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | STEPHEN CHARLES JOBIN
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Credential |
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Telephone | 732-442-3632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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