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General NPI Number Information
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NPI Number | 1275709750
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Entity Type | Organization
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Legal Business Name | FAMILY GUIDANCE CENTER OF WARREN COUNTY
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 492 ROUTE 57 W
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City | WASHINGTON
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State | NJ
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Zip | 07882-4411
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Country | US
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Telephone | 908-689-1000
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Fax | 908-689-4529
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Provider Business Mailing Address
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Address Line | 492 ROUTE 57 W
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City | WASHINGTON
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State | NJ
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Zip | 07882-4411
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Country | US
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Telephone | 908-689-1000
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Fax | 908-689-4529
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RICHARD MCDONNELL
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Credential | LCSW
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Telephone | 908-689-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 10501 01 04
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License Number State | NJ
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