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General NPI Number Information
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NPI Number | 1831750223
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Entity Type | Organization
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Legal Business Name | HANDICAPPED HIGH RIDERS CLUB
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 145 ROUTE 526
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City | ALLENTOWN
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State | NJ
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Zip | 08501
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Country | US
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Telephone | 609-259-3884
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Fax | 732-658-6517
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Provider Business Mailing Address
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Address Line | 7 BLYTHEWOOD COURT
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 732-492-0991
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Fax | 732-658-6517
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DENNIS IRA KAHN
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Credential |
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Telephone | 732-492-0991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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