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General NPI Number Information
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NPI Number | 1124897426
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Entity Type | Organization
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Legal Business Name | DANIELIAN PSYCHOTHERAPY CENTER LLC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 1 WILLIAM ST APT 520
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3689
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Country | US
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Telephone | 201-693-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WILLIAM ST APT 520
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3689
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Country | US
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Telephone | 201-693-6166
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DEANNA DANIELIAN
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Credential |
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Telephone | 201-693-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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