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General NPI Number Information
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NPI Number | 1497323810
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Entity Type | Organization
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Legal Business Name | SOMERSET MENTAL HEALTH
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Dates
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Enumeration Date | 06/13/2021
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Last Update Date | 06/13/2021
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Provider Practice Location Address
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Address Line | 5 COLD HILL RD S STE 26
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City | MENDHAM
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State | NJ
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Zip | 07945-3208
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Country | US
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Telephone | 862-571-9534
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Fax |
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Provider Business Mailing Address
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Address Line | 147 SAND SPRING RD
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City | MORRISTOWN
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State | NJ
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Zip | 07960-3436
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Country | US
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Telephone | 862-571-9534
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER, CLINICIAN
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Name | ELENI PELLAZGU
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Credential | APN
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Telephone | 862-571-9534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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