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General NPI Number Information
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NPI Number | 1508309964
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Entity Type | Organization
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Legal Business Name | FAMILY WELLNESS SERVICES
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E J50
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-304-4131
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Fax | 856-888-1569
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Provider Business Mailing Address
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Address Line | 1930 MARLTON PIKE E J50
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-304-4131
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Fax | 856-888-1569
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MONA ASLAM
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Credential |
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Telephone | 856-304-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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