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NPI 1558169888

NPI 1558169888 : ALPAS WELLNESS WOODBURY LLC : WOODBURY, NJ

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General NPI Number Information
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    NPI Number           |    1558169888
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALPAS WELLNESS WOODBURY LLC 
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Dates
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    Enumeration Date     |    03/04/2025
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    608 N BROAD ST STE 201 
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    City                 |    WOODBURY
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    State                |    NJ
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    Zip                  |    08096-1794
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    Country              |    US
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    Telephone            |    877-632-5727
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    608 N BROAD ST STE 201 
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    City                 |    WOODBURY
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    State                |    NJ
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    Zip                  |    08096-1794
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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    |    COMPLIANCE MANAGER
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    Name                 |     CHRISTOPHER  YOHE 
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    Credential           |    
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    Telephone            |    717-449-1447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health 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        |    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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