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General NPI Number Information
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NPI Number | 1346583549
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Entity Type | Organization
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Legal Business Name | ARCADIAPSYCH, LLC
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 100 FRANKLIN SQUARE DR STE 108
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City | SOMERSET
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State | NJ
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Zip | 08873-4109
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Country | US
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Telephone | 732-236-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 116 EMERSON RD
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City | SOMERSET
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State | NJ
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Zip | 08873-1681
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DEEPESH V PATEL
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Credential |
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Telephone | 732-236-0123
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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 | 37LC00195100
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License Number State | NJ
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