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NPI 1568017705

NPI 1568017705 : CMX-FIRM LLC : TOTOWA, NJ

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General NPI Number Information
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    NPI Number           |    1568017705
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    Entity Type          |    Organization 
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    Legal Business Name  |    CMX-FIRM LLC 
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Dates
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    Enumeration Date     |    08/05/2019
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    Last Update Date     |    08/05/2019
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Provider Practice Location Address
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    Address Line         |    15 LINCOLN AVE 
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    City                 |    TOTOWA
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    State                |    NJ
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    Zip                  |    07512-2737
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    Country              |    US
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    Telephone            |    973-594-2723
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15 LINCOLN AVE 
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    City                 |    TOTOWA
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    State                |    NJ
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    Zip                  |    07512-2737
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    Country              |    US
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    Telephone            |    973-594-2723
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     MAXINE CLARE PINTO 
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    Credential           |    CEO
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    Telephone            |    973-460-6274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    305S00000X
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    Taxonomy Name        |    Point of Service
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251X00000X
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    Taxonomy Name        |    Supports Brokerage Agency
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    License Number       |    
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    License Number State |    
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