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General NPI Number Information
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NPI Number | 1205341153
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 569 BROADWAY
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City | WESTWOOD
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State | NJ
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Zip | 07675-1663
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Country | US
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Telephone | 201-957-1800
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Fax | 201-296-6319
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Provider Business Mailing Address
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Address Line | 516 VALLEY BROOK AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1930
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Country | US
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Telephone | 201-935-3322
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Fax | 201-296-6319
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MS. DANA JAWORSKI
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Credential |
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Telephone | 201-935-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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