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General NPI Number Information
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NPI Number | 1497517734
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Entity Type | Organization
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Legal Business Name | SUTARIA CHILD SERVICES LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 150 MORRISTOWN RD STE 107
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2626
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Country | US
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Telephone | 973-433-5089
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Fax | 973-270-9599
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Provider Business Mailing Address
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Address Line | 150 MORRISTOWN RD STE 107
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2626
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Country | US
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Telephone | 973-433-5180
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Fax | 973-270-9599
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Authorized Official
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Title or Position | OWNER
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Name | AMUL SUTARIA
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Credential |
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Telephone | 201-621-3947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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