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General NPI Number Information
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NPI Number | 1598151532
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Entity Type | Organization
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Legal Business Name | NEW JERSEY CENTER FOR EMOTIONALLY FOCUSED THERAPY, LLC
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 10 SCHOOLHOUSE LN
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City | CHESTER
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State | NJ
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Zip | 07930-3205
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Country | US
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Telephone | 201-912-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SCHOOLHOUSE LN
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City | CHESTER
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State | NJ
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Zip | 07930-3205
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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 | PRESIDENT
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Name | DR. ALAN GROVEMAN
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Credential | PHD
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Telephone | 201-912-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00142900
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License Number State | NJ
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