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General NPI Number Information
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NPI Number | 1033581004
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHOLOGICAL ASSESSMENT AND TREATMENT
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 250 STATE ROUTE 28 STE 101
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1979
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Country | US
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Telephone | 908-200-7791
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Fax | 908-200-7790
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Provider Business Mailing Address
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Address Line | PO BOX 541
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City | PITTSTOWN
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State | NJ
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Zip | 08867-0541
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Country | US
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Telephone | 908-200-7791
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Fax | 908-200-7790
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. LOREN B AMSELL
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Credential | PH.D.
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Telephone | 908-797-2026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | NJ 5728
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 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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