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General NPI Number Information
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NPI Number | 1194160473
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Entity Type | Organization
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Legal Business Name | GREYSTONE PARK PSYCHIATRIC HOSPITAL
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 59 KOCH AVE
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-4400
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Country | US
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Telephone | 973-538-1800
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Fax | 973-889-4560
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Provider Business Mailing Address
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Address Line | 59 KOCH AVE
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-4400
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Country | US
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Telephone | 973-538-1800
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Fax | 973-889-4560
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF NURSING
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Name | MRS. WEN-ING REN
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Credential |
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Telephone | 973-538-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 26NR 06150700
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License Number State | NJ
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