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General NPI Number Information
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NPI Number | 1093929952
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Entity Type | Organization
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Legal Business Name | RMA OF NEW JERSEY COMPLIMENTARY CARE
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 111 MADISON AVE SUITE 100
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6097
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Country | US
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Telephone | 973-971-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MADISON AVE SUITE 100
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6097
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Country | US
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Telephone | 973-971-4600
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PAUL BERGH
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Credential |
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Telephone | 973-971-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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