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General NPI Number Information
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NPI Number | 1881257558
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Entity Type | Organization
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Legal Business Name | THE COMMUNITY CHARTER SCHOOL OF PATERSON
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 75 SPRUCE ST
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City | PATERSON
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State | NJ
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Zip | 07501-1720
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Country | US
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Telephone | 973-413-2057
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Fax |
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Provider Business Mailing Address
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Address Line | 75 SPRUCE ST
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City | PATERSON
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State | NJ
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Zip | 07501-1720
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Country | US
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Telephone | 973-413-2057
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR FOR STUDENT SUPPORT SERV
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Name | TINA VOLPE
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Credential |
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Telephone | 973-413-2057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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