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General NPI Number Information
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NPI Number | 1023967619
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Entity Type | Organization
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Legal Business Name | INTEGRATED THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 201 LINCOLN AVE, STE 2
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City | RIDGEFIELD PARK
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State | NJ
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Zip | 07660
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Country | US
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Telephone | 551-405-6282
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Fax |
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Provider Business Mailing Address
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Address Line | 201 LINCOLN AVE STE 2
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City | RIDGEFIELD PARK
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State | NJ
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Zip | 07660-1405
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Country | US
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Telephone | 201-877-3214
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SADIA PHILLIPS
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Credential | LCSW
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Telephone | 551-405-6282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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