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NPI 1891551172

NPI 1891551172 : CARE CONNECT IN HUMAN SERVICES : WENONAH, NJ

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General NPI Number Information
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    NPI Number           |    1891551172
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARE CONNECT IN HUMAN SERVICES 
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Dates
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    Enumeration Date     |    02/26/2024
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    Last Update Date     |    02/26/2024
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Provider Practice Location Address
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    Address Line         |    220 FILBERT ST 
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    City                 |    WENONAH
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    State                |    NJ
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    Zip                  |    08090-1552
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    Country              |    US
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    Telephone            |    267-987-6292
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    220 FILBERT ST 
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    City                 |    WENONAH
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    State                |    NJ
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    Zip                  |    08090-1552
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    Country              |    US
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    Telephone            |    267-987-6292
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     SENAM  SELORMEY 
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    Credential           |    
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    Telephone            |    267-987-6292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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