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General NPI Number Information
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NPI Number | 1902435621
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Entity Type | Organization
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Legal Business Name | AGAPE HEALING WORKS LLC
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 517 S 8TH ST STE 2
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City | VINELAND
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State | NJ
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Zip | 08360-4706
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Country | US
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Telephone | 856-213-0302
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Fax | 609-939-0700
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Provider Business Mailing Address
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Address Line | 517 S 8TH ST STE 2
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City | VINELAND
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State | NJ
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Zip | 08360-4706
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Country | US
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Telephone | 856-213-0302
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Fax | 609-939-0700
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Authorized Official
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Title or Position | OWNER
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Name | ZELRECKA LINDSEY
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Credential | LCSW
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Telephone | 609-338-2244
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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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