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General NPI Number Information
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NPI Number | 1073638508
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Entity Type | Organization
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Legal Business Name | FAMILY RESOURCE CENTER
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 300 NORTH AVE E
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City | CRANFORD
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State | NJ
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Zip | 07016-2435
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Country | US
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Telephone | 908-276-2244
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Fax | 908-931-0304
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Provider Business Mailing Address
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Address Line | 300 NORTH AVE E
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City | CRANFORD
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State | NJ
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Zip | 07016-2435
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Country | US
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Telephone | 908-276-2244
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Fax | 908-931-0304
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | PATRICIA NEARY-LUDMER
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Credential | PH.D. PSYCHOLOGIST
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Telephone | 908-276-2244
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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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