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NPI 1386770790

NPI 1386770790 : CHILD AND FAMILY SOLUTIONS : SICKLERVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1386770790
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHILD AND FAMILY SOLUTIONS 
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Dates
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    Enumeration Date     |    02/27/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2 ENDFIELD ST 
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    City                 |    SICKLERVILLE
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    State                |    NJ
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    Zip                  |    08081-5651
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    Country              |    US
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    Telephone            |    856-262-9100
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    Fax                  |    856-262-1095
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Provider Business Mailing Address
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    Address Line         |    2 ENDFIELD ST. 
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    City                 |    SICKLERVILLE
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    State                |    NJ
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    Zip                  |    08081
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    Country              |    US
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    Telephone            |    856-262-9100
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    Fax                  |    856-262-1095
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Authorized Official
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    Title or Position    |    C.E.O.
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    Name                 |     ERIK MONTEZ COLEMAN 
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    Credential           |    
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    Telephone            |    856-262-9100
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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       |    0400091088
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    License Number State |    NJ
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