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General NPI Number Information
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NPI Number | 1033270632
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Entity Type | Organization
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Legal Business Name | NJ CENTER FOR THE HEALING ARTS, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 248 BROAD ST SUITE #1
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City | RED BANK
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State | NJ
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Zip | 07701-2020
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Country | US
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Telephone | 732-747-2944
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Fax | 732-747-2949
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Provider Business Mailing Address
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Address Line | 248 BROAD ST SUITE #1
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City | RED BANK
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State | NJ
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Zip | 07701-2020
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Country | US
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Telephone | 732-747-2944
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Fax | 732-747-2949
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. CAROL LEE VEIZER
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Credential | MA, LPC
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Telephone | 732-747-2944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NJ
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