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General NPI Number Information
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NPI Number | 1699685214
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Entity Type | Organization
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Legal Business Name | COMPOSED MIND THERAPY
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 2329 NJ 34
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City | MANASQUAN
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State | NJ
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Zip | 08736
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Country | US
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Telephone | 732-682-7866
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Fax |
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Provider Business Mailing Address
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Address Line | 104 NEW YORK AVE
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City | POINT PLEASANT BEACH
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State | NJ
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Zip | 08742-3332
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Country | US
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Telephone | 732-682-7866
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEO BEYDA
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Credential |
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Telephone | 732-682-7866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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