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General NPI Number Information
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NPI Number | 1689707044
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Entity Type | Organization
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Legal Business Name | GUIDING STAR PSYCHIATRIC SERVICES, P.C.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 901 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1974
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Country | US
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Telephone | 610-861-8836
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Fax |
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Provider Business Mailing Address
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Address Line | 1 TAMZEN TER
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City | WASHINGTON
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State | NJ
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Zip | 07882-2484
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Country | US
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Telephone | 610-861-8836
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENNY ELIZABETH TITUS
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Credential | M.D.
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Telephone | 610-861-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | NJ
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