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General NPI Number Information
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NPI Number | 1619764131
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Entity Type | Organization
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Legal Business Name | STRONG ONES LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 60 PARK PL STE 405
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City | NEWARK
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State | NJ
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Zip | 07102-5513
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Country | US
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Telephone | 973-230-0875
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Fax |
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Provider Business Mailing Address
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Address Line | 60 PARK PL STE 405
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City | NEWARK
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State | NJ
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Zip | 07102-5513
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Country | US
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Telephone | 973-230-0875
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TYSHAUB MARKIE SAINT VALLIER
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Credential | CASAC, ISO,
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Telephone | 609-509-9697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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