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General NPI Number Information
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NPI Number | 1467619486
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Entity Type | Organization
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Legal Business Name | V MARGARET NEWMAN THERAPEUTIC SERVICE LLC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 215 HIGHLAND AVE SUITE C
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City | HADDON TOWNSHIP
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State | NJ
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Zip | 08108-2634
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Country | US
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Telephone | 856-952-2688
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Fax | 856-488-6222
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Provider Business Mailing Address
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Address Line | 4646 ROOSEVELT AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-1849
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Country | US
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Telephone | 856-952-2688
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Fax | 856-488-6222
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Authorized Official
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Title or Position | OWNER
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Name | MS. VALERIE NEWMAN
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Credential | LCSW
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Telephone | 856-952-2688
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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 | 44SC05240200
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License Number State | NJ
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