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NPI 1881464170

NPI 1881464170 : CUDDLECARE FC : LAKEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1881464170
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUDDLECARE FC 
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Dates
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    Enumeration Date     |    01/08/2024
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    Last Update Date     |    01/08/2024
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Provider Practice Location Address
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    Address Line         |    47 BRADHURST AVE # A 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-6135
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    Country              |    US
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    Telephone            |    848-261-2920
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1321 GEORGIAN TER 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-1641
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    Country              |    US
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    Telephone            |    848-261-2920
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. NOSSON  CENSOR 
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    Credential           |    
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    Telephone            |    848-261-2920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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