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General NPI Number Information
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NPI Number | 1972932580
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Entity Type | Organization
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Legal Business Name | VILLAGE CHARTER SCHOOL
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 101 SULLIVAN WAY
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City | EWING
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State | NJ
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Zip | 08628-3425
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Country | US
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Telephone | 609-695-0110
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Fax | 609-695-1880
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Provider Business Mailing Address
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Address Line | 101 SULLIVAN WAY
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City | EWING
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State | NJ
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Zip | 08628-3425
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Country | US
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Telephone | 609-695-0110
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Fax | 609-695-1880
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Authorized Official
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Title or Position | SCHOOL SOCIAL WORKER
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Name | MS. THERESA TWISDALE
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Credential | MSW
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Telephone | 609-695-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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