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General NPI Number Information
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NPI Number | 1114496916
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONS THERAPY CENTER LLC
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 110 HILLSIDE AVE STE 301
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3007
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Country | US
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Telephone | 201-341-8023
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Fax |
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Provider Business Mailing Address
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Address Line | 110 HILLSIDE AVE STE 301
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JENNIFER R WEBERMAN
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Credential | PSYD
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Telephone | 201-341-8023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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