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General NPI Number Information
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NPI Number | 1922984434
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Entity Type | Organization
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Legal Business Name | LIFE STEPS DAY HAB
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 20 JACKSON ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2476
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Country | US
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Telephone | 732-688-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 82 VAN TINES LN
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3901
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Country | US
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Telephone | 732-688-1900
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. VICTORIA VAIBZURD
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Credential |
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Telephone | 917-626-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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