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General NPI Number Information
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NPI Number | 1235945627
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES DIOCESE OF TRENTON
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 1 MONUMENT DR LOWR LEVEL
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City | PRINCETON
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State | NJ
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Zip | 08540-3036
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Country | US
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Telephone | 690-394-5181
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Fax |
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Provider Business Mailing Address
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Address Line | 383 W STATE ST
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City | TRENTON
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State | NJ
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Zip | 08618-5705
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Country | US
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Telephone | 609-394-3202
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DEBBRA ELKO
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Credential | MBA
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Telephone | 609-394-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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