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General NPI Number Information
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NPI Number | 1922815042
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Entity Type | Organization
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Legal Business Name | BANCROFT A NEW JERSEY NONPROFIT CORPORATION
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 3106 AVALON CT
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City | VOORHEES
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State | NJ
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Zip | 08043-4662
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Country | US
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Telephone | 856-282-5855
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Fax | 856-375-8358
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Provider Business Mailing Address
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Address Line | 1255 CALDWELL RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3220
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Country | US
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Telephone | 856-348-1151
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JENNIFER CRIPPS
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Credential |
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Telephone | 856-348-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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