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General NPI Number Information
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NPI Number | 1538388384
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Entity Type | Organization
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Legal Business Name | PRINCETON HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 1460 LIVINGSTON AVE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1873
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Country | US
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Telephone | 732-729-3626
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Fax | 732-435-0222
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Provider Business Mailing Address
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Address Line | 1460 LIVINGSTON AVE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1873
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR PRIMARY THERAPIST
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Name | ESTHER H LAM
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Credential | M.A.
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Telephone | 732-589-4605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 37PC00356800
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License Number State | NJ
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