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General NPI Number Information
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NPI Number | 1558851592
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Entity Type | Organization
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Legal Business Name | HELLENIC PSYCHOLOGY CENTER
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 567 PARK AVE STE 203
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City | SCOTCH PLAINS
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State | NJ
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Zip | 07076-1754
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Country | US
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Telephone | 908-322-0112
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Fax | 908-789-0230
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Provider Business Mailing Address
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Address Line | 914 TICE PL
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City | WESTFIELD
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State | NJ
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Zip | 07090-2629
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Country | US
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Telephone | 908-451-2016
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | EMILIO A DI IORIO
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Credential | CPA
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Telephone | 908-451-2016
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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 | 1083787774
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License Number State | NJ
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