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General NPI Number Information
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NPI Number | 1568366789
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Entity Type | Organization
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Legal Business Name | PINNACLE WELLNESS GROUP NJ
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 19 CARYN PL
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City | FAIRFIELD
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State | NJ
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Zip | 07004-1801
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Country | US
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Telephone | 609-634-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 19 CARYN PL
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City | FAIRFIELD
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State | NJ
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Zip | 07004-1801
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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 | OWNER
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Name | PATRICK MERCER
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Credential | MS,CES,PES,EP-C,CLC
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Telephone | 609-634-1366
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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 |
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License Number State | NULL
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