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General NPI Number Information
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NPI Number | 1003955824
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Entity Type | Organization
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Legal Business Name | INHEALTH PA
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 15 STATE ROUTE 15
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City | LAFAYETTE
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State | NJ
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Zip | 07848-2007
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Country | US
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Telephone | 973-579-6700
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Fax | 973-579-6830
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Provider Business Mailing Address
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Address Line | 15 STATE ROUTE 15
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City | LAFAYETTE
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State | NJ
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Zip | 07848-2007
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Country | US
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Telephone | 973-579-6700
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Fax | 973-579-6830
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. KATHLEEN NIELSEN
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Credential | APRN BC
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Telephone | 973-579-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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