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General NPI Number Information
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NPI Number | 1356214472
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Entity Type | Organization
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Legal Business Name | MH-NJ, PROFESSIONAL SERVICES P.C.
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 569 DR MARTIN LUTHER KING JR BLVD STE 106
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City | NEWARK
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State | NJ
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Zip | 07102-1249
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Country | US
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Telephone | 332-232-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 521 BROADWAY FL 4
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City | NEW YORK
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State | NY
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Zip | 10012-4454
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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 | SECRETARY
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Name | DANIEL ROSS
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Credential |
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Telephone | 332-232-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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