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General NPI Number Information
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NPI Number | 1245630524
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Entity Type | Organization
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Legal Business Name | EAST COAST BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 08/24/2014
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 162 MOUNTAIN RD
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City | HAMBURG
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State | NJ
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Zip | 07419-9649
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Country | US
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Telephone | 862-364-4118
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | HAMBURG
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State | NJ
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Zip | 07419-0458
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Country | US
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Telephone | 862-364-4118
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Fax | 973-928-8124
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MR. ALLEN W RUDE III
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Credential | LAC, LAPC
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Telephone | 862-364-4118
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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