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General NPI Number Information
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NPI Number | 1548905128
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Entity Type | Organization
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Legal Business Name | WELLNESS TO RECOVERY
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 117 DEY ST
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City | HIGHTSTOWN
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State | NJ
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Zip | 08520-4324
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Country | US
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Telephone | 609-721-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 113 DUTCH NECK RD
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City | HIGHTSTOWN
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State | NJ
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Zip | 08520-4511
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Country | US
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Telephone | 609-721-2255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROVIN CHONIELALL
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Credential | LPC
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Telephone | 609-721-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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