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General NPI Number Information
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NPI Number | 1033076492
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Entity Type | Organization
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Legal Business Name | GENPSYCH WAYNE
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1501 HAMBURG TPKE STE 201
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City | WAYNE
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State | NJ
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Zip | 07470-4032
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Country | US
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Telephone | 855-436-7792
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Fax |
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Provider Business Mailing Address
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Address Line | 380 FOOTHILL RD
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2255
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Country | US
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Telephone |
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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 | HENRY ODUNLAMI
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Credential |
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Telephone | 908-800-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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