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General NPI Number Information
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NPI Number | 1205776366
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Entity Type | Organization
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Legal Business Name | MKS PSYCHOTHERAPY
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 3 PARTRIDGE RD
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City | FLEMINGTON
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State | NJ
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Zip | 08822-7118
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Country | US
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Telephone | 908-403-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 3 PARTRIDGE RD
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City | FLEMINGTON
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State | NJ
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Zip | 08822-7118
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Country | US
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Telephone | 908-403-3668
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Fax | 908-403-3668
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN SULLIVAN
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Credential |
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Telephone | 908-403-3668
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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 |
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License Number State |
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