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General NPI Number Information
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NPI Number | 1508724147
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Entity Type | Organization
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Legal Business Name | JIGSAW DIAGNOSTICS NEW JERSEY PC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2422 6TH ST UNIT B
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City | FORT LEE
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State | NJ
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Zip | 07024-7803
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Country | US
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Telephone | 650-260-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 ASHTON AVE
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City | MENLO PARK
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State | CA
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Zip | 94025-6501
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Country | US
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Telephone | 571-213-7572
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY AND TREASURER
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Name | JUSTIN HO
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Credential |
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Telephone | 571-213-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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