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General NPI Number Information
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NPI Number | 1366497356
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Entity Type | Organization
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Legal Business Name | CPC BEHAVIORAL HEALTHCARE, INC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 270 ROUTE 35
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City | RED BANK
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State | NJ
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Zip | 07701-5920
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Country | US
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Telephone | 732-842-2000
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Fax | 732-224-0688
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Provider Business Mailing Address
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Address Line | 10 INDUSTRIAL WAY E
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City | EATONTOWN
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State | NJ
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Zip | 07724-3317
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Country | US
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Telephone | 732-935-2220
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Fax | 732-389-3207
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN MANS
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Credential | CPA
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Telephone | 732-935-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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