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General NPI Number Information
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NPI Number | 1952837031
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF EAST BRUNSWICK
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 180 HARDENBURG LN
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2414
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Country | US
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Telephone | 732-390-6797
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Fax |
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Provider Business Mailing Address
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Address Line | 334 DUNHAMS CORNER RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2656
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Country | US
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Telephone | 732-390-6797
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, RECREATION AND PARKS
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Name | MICHAEL REISSNER
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Credential |
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Telephone | 732-390-6797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number | 12DAI0001
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License Number State | NJ
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