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General NPI Number Information
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NPI Number | 1366296865
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Entity Type | Organization
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Legal Business Name | JANA HARTJEN PSYD, LLC
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 1814 ROLLING LN
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3326
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Country | US
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Telephone | 856-208-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 1814 ROLLING LN
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3326
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Country | US
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Telephone | 856-208-7225
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. JANA HARTJEN
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Credential | PSYD
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Telephone | 856-208-7225
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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 |
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License Number State |
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