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General NPI Number Information
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NPI Number | 1699107896
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Entity Type | Organization
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Legal Business Name | THE POSTPARTUM STRESS AND FAMILY WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 151 FRIES MILL RD STE 201
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2016
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Country | US
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Telephone | 856-302-1381
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Fax |
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Provider Business Mailing Address
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Address Line | 151 FRIES MILL RD STE 201
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2016
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Country | US
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Telephone | 856-302-1381
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MS. GLENDA BESCHEN
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Credential | LPC
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Telephone | 856-302-1381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 37AC00138700
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License Number State | NJ
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