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General NPI Number Information
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NPI Number | 1265640072
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Entity Type | Organization
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Legal Business Name | DBT CENTER OF NJ
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2999 PRINCETON PIKE SUITE 8
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-3261
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Country | US
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Telephone | 609-538-9300
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Fax | 609-538-9301
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Provider Business Mailing Address
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Address Line | 10 SILVERS LN
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1116
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Country | US
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Telephone | 609-274-7425
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RIKKI ELLYN BOBCHIN
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Credential | LCSW
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Telephone | 609-275-7425
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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 | 44SC04664300
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License Number State | NJ
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