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General NPI Number Information
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NPI Number | 1972621761
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 204 TERRILL RD
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City | FANWOOD
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State | NJ
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Zip | 07023-1025
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Country | US
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Telephone | 732-827-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 205 W MILTON AVE
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City | RAHWAY
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State | NJ
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Zip | 07065-3203
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Country | US
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Telephone | 732-827-2444
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT CEO
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Name | MS. ORIETTA BREWER
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Credential |
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Telephone | 212-496-4303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 20001M110440
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License Number State | NJ
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