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General NPI Number Information
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NPI Number | 1922979301
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Entity Type | Organization
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Legal Business Name | NEW LIFE GROUP NJ LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 16 SOUTH RHODE AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401
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Country | US
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Telephone | 609-913-7188
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Fax | 609-807-2488
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Provider Business Mailing Address
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Address Line | 127 US HIGHWAY 206
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City | HAMILTON
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State | NJ
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Zip | 08610-4300
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Country | US
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Telephone | 609-913-7188
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Fax | 609-807-2488
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Authorized Official
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Title or Position | CEO
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Name | SETH Z TAYLOR SR.
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Credential | ED
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Telephone | 609-913-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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