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General NPI Number Information
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NPI Number | 1972900777
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Entity Type | Organization
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Legal Business Name | ADVOCACY FAMILY SUPPORT SERVICES.
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 41 LA GORCE BLVD
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City | BURLINGTON
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State | NJ
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Zip | 08016-2938
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Country | US
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Telephone | 732-762-8739
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Fax |
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Provider Business Mailing Address
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Address Line | 41 LA GORCE BLVD
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City | BURLINGTON TWP
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State | NJ
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Zip | 08016
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Country | US
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Telephone | 732-762-8739
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. IJEOMA NNEDINMA SALAMI
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Credential | MASTERS DEGREE
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Telephone | 732-762-8739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 103TM1800X
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License Number State | NJ
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Taxonomy #2
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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 | NJ
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