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General NPI Number Information
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NPI Number | 1124917109
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Entity Type | Organization
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Legal Business Name | RISE THERAPEUTIC SOLUTIONS
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 918 ELIZABETH AVE
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City | ELIZABETH
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State | NJ
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Zip | 07201-3309
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Country | US
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Telephone | 973-380-9766
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Fax | 973-360-8654
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Provider Business Mailing Address
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Address Line | 59 ELLINGTON ST APT 1
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City | EAST ORANGE
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State | NJ
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Zip | 07017-5754
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Country | US
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Telephone | 973-380-4954
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | STACY-ANN D LAMBERT
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Credential | LCSW
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Telephone | 973-380-4954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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