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General NPI Number Information
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NPI Number | 1447796230
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Entity Type | Organization
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Legal Business Name | MESSINEO CONSULTATION SERVICES
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 43 STELLA DR
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1839
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Country | US
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Telephone | 908-953-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 43 STELLA DR
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1839
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Country | US
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Telephone | 908-953-9700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THERESA MESSINEO
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Credential |
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Telephone | 908-953-9700
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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 | 44SC00362500
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License Number State | NJ
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