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General NPI Number Information
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NPI Number | 1992184477
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Entity Type | Organization
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Legal Business Name | CHILDREN'S CENTER PROGRAMS, LLC
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 1115 GREEN GROVE RD
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City | NEPTUNE
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State | NJ
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Zip | 07753-2571
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Country | US
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Telephone | 732-922-0228
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Fax | 732-922-8133
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Provider Business Mailing Address
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Address Line | 1115 GREEN GROVE RD
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City | NEPTUNE
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State | NJ
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Zip | 07753-2571
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Country | US
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Telephone | 732-922-0228
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Fax | 732-922-8133
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOSEPH MEROLA JR.
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Credential | B.S.
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Telephone | 732-922-0228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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