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General NPI Number Information
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NPI Number | 1164764429
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Entity Type | Organization
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Legal Business Name | SECONGEN, LLC
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 833 RIVER ST
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City | PATERSON
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State | NJ
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Zip | 07524-1318
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Country | US
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Telephone | 201-281-3466
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Fax |
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Provider Business Mailing Address
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Address Line | 1153 BUCKWALD CT
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1263
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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 | AUTHORIZED REPRESENTATIVE
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Name | B KLEIMAN
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Credential |
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Telephone | 862-216-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NJ
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