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General NPI Number Information
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NPI Number | 1689959033
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Entity Type | Organization
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Legal Business Name | WEST JERSEY PSYCHIATRIC ASSOCIATES
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 254B MOUNTAIN AVE SUITE 306
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-2413
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Country | US
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Telephone | 908-684-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 254B MOUNTAIN AVE SUITE 306
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-2413
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Country | US
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Telephone | 908-684-0401
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Fax |
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | ABBY KURIEN
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Credential | M.D
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Telephone | 908-684-0401
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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 | 25MA07061800
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License Number State | NJ
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