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General NPI Number Information
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NPI Number | 1215579578
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Entity Type | Organization
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Legal Business Name | CFY LLC
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 07/09/2023
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Provider Practice Location Address
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Address Line | 18 CONGRESS ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3512
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Country | US
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Telephone | 732-534-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CONGRESS ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3512
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Country | US
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Telephone | 732-534-2250
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHANA F YAROSLAWITZ
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Credential | PHD LCSW BCBA
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Telephone | 732-534-2250
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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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