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General NPI Number Information
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NPI Number | 1386701894
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Entity Type | Organization
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Legal Business Name | PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC.
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 700 AIRPORT ROAD PREFERRED BEHAVIORAL HEALTH OUT PATIENT SERVICES
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-367-4700
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Fax | 732-364-2253
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Provider Business Mailing Address
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Address Line | PO BOX 2036 PREFERRED BEHAVIORAL HEALTH
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-458-1700
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Fax | 732-785-3296
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Authorized Official
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Title or Position | CAO
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Name | JULIE VANORE
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Credential |
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Telephone | 732-458-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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