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General NPI Number Information
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NPI Number | 1821922345
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Entity Type | Organization
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Legal Business Name | BOLD STEPS OF NJ LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 200 CAMPBELL DR
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City | WILLINGBORO
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State | NJ
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Zip | 08046-1067
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Country | US
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Telephone | 717-882-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CAMPBELL DR
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City | WILLINGBORO
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State | NJ
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Zip | 08046-1067
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHAIM BERGER
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Credential |
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Telephone | 929-276-5345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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