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NPI 1073472742

NPI 1073472742 : ALIADO COMMUNITY HEALTH : LODI, NJ

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General NPI Number Information
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    NPI Number           |    1073472742
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALIADO COMMUNITY HEALTH 
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Dates
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    Enumeration Date     |    01/19/2026
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    Last Update Date     |    01/19/2026
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Provider Practice Location Address
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    Address Line         |    116 TERRACE AVE 
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    City                 |    LODI
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    State                |    NJ
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    Zip                  |    07644-2905
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    Country              |    US
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    Telephone            |    347-605-3518
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    116 TERRACE AVE 
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    City                 |    LODI
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    State                |    NJ
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    Zip                  |    07644-2905
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    Country              |    US
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    Telephone            |    347-605-3518
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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                 |     SAKIMA  GONZALEZ 
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    Credential           |    LCSW
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    Telephone            |    347-605-3518
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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 |    
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