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General NPI Number Information
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NPI Number | 1942095757
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Entity Type | Organization
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Legal Business Name | LAKEWOOD RESOURCE AND REFERRAL CENTER, INC.
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 212 2ND ST STE 204
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3425
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Country | US
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Telephone | 732-942-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 MADISON AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1242
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Country | US
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Telephone | 732-364-2144
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Fax | 732-364-3559
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Authorized Official
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Title or Position | CEO
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Name | DAVID FRIEDMAN
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Credential |
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Telephone | 732-364-2144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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