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General NPI Number Information
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NPI Number | 1184436198
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Entity Type | Organization
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Legal Business Name | JAFRI BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/25/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 300 PERRINE RD STE 314
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3628
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Country | US
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Telephone | 732-790-5890
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Fax | 732-790-5991
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Provider Business Mailing Address
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Address Line | 300 PERRINE RD STE 314
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3628
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Country | US
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Telephone | 732-790-5890
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Fax | 732-790-5991
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SHEEMA IMRAN
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Credential | MD
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Telephone | 908-283-0490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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