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General NPI Number Information
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NPI Number | 1831684521
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Entity Type | Organization
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Legal Business Name | NEW JERSEY CAMP FOR BLIND CHILDREN, INC
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 27 DURHAM RD
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City | ROCKAWAY
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State | NJ
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Zip | 07866-4601
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Country | US
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Telephone | 973-627-1113
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 85
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City | EAST RUTHERFORD
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State | NJ
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Zip | 07073-0084
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Country | US
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Telephone | 973-627-1113
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. KRYSTYN JOHNSON GALLANT
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Credential | MAT
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Telephone | 973-627-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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