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General NPI Number Information
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NPI Number | 1720028145
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY & VOCATIONAL SERVICES OF MIDDLESEX COUNTY INC.
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 1600 PERRINEVILLE RD STE 52
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-4903
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Country | US
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Telephone | 609-395-7979
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Fax | 609-395-7129
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Provider Business Mailing Address
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Address Line | 219 BLACK HORSE LN UNIT C
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-4301
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Country | US
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Telephone | 732-777-1940
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Fax | 732-777-1889
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Authorized Official
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Title or Position | ASSOCIATE EXECUTIVE DIRECTOR
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Name | WILLIAM STOVER
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Credential | LCSW
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Telephone | 732-777-1940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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