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General NPI Number Information
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NPI Number | 1174689681
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Entity Type | Organization
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Legal Business Name | CHRISTINE F. PETRAT
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 154 ROUTE 206 SOUTH
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City | CHESTER
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State | NJ
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Zip | 07930
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Country | US
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Telephone | 973-615-3460
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Fax | 908-879-4007
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Provider Business Mailing Address
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Address Line | PO BOX 814
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City | DENVILLE
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State | NJ
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Zip | 07834-0814
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Country | US
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Telephone | 973-615-3460
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Fax | 908-879-4007
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. CHRISTINE F PETRAT
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Credential | MSW
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Telephone | 973-615-3460
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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 | 44SC04585300
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License Number State | NJ
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