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General NPI Number Information
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NPI Number | 1689896177
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF CHERRY HILL
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 189 LAKEVIEW DRIVE SOUTH SUITE 102
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City | GIBBSBORO
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State | NJ
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Zip | 08026-1020
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Country | US
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Telephone | 856-784-7744
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Fax | 856-784-7530
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Provider Business Mailing Address
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Address Line | 189 LAKEVIEW DRIVE SOUTH SUITE 102
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City | GIBBSBORO
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State | NJ
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Zip | 08026-1020
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Country | US
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Telephone | 856-784-7744
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Fax | 856-784-7530
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEONARD JOSEPH GIARRAPUTO
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Credential | MD
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Telephone | 856-784-7744
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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 | 25MA05895100
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License Number State | NJ
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