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General NPI Number Information
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NPI Number | 1699642595
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Entity Type | Organization
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Legal Business Name | TRIANGLE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 245 ATLANTIC CITY BLVD STE 2
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City | BEACHWOOD
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State | NJ
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Zip | 08722-2972
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Country | US
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Telephone | 702-338-8772
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Fax |
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Provider Business Mailing Address
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Address Line | 801 ATLANTIC CITY BLVD UNIT 16
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City | BAYVILLE
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State | NJ
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Zip | 08721-8003
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Country | US
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Telephone | 702-338-8772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD HOLLIGAN
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Credential |
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Telephone | 702-338-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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