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General NPI Number Information
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NPI Number | 1669507042
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHIATRY & PSYCHO-ONCOLOGY
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 261 JAMES ST SUITE 2EL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6392
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Country | US
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Telephone | 973-540-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 261 JAMES ST SUITE 2EL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6392
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Country | US
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Telephone | 973-540-9490
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAURIE MARTIN
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Credential |
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Telephone | 973-540-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 031798
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License Number State | NJ
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