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NPI 1477070761

NPI 1477070761 : BEST PRACTICES BHOM : JACKSON, NJ

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General NPI Number Information
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    NPI Number           |    1477070761
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEST PRACTICES BHOM 
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Dates
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    Enumeration Date     |    08/28/2017
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    Last Update Date     |    08/07/2024
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Provider Practice Location Address
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    Address Line         |    81 CROOKED STICK RD 
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    City                 |    JACKSON
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    State                |    NJ
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    Zip                  |    08527-4032
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    Country              |    US
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    Telephone            |    848-218-0790
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    Fax                  |    732-358-0829
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Provider Business Mailing Address
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    Address Line         |    81 CROOKED STICK RD 
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    City                 |    JACKSON
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    State                |    NJ
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    Zip                  |    08527-4032
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    Country              |    US
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    Telephone            |    609-916-6400
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    Fax                  |    732-358-0829
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVID  GOLD 
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    Credential           |    
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    Telephone            |    609-916-6402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    44SC05675500
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    License Number State |    NJ
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