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General NPI Number Information
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NPI Number | 1720412885
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Entity Type | Organization
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Legal Business Name | CHILD AND ADOLESCENT PSYCHIATRY OF SOUTHERN NEW JERSEY
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E SUITE Q-12
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 215-806-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 PLEASANT DR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3129
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Country | US
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Telephone | 215-806-5333
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | STEPHEN MICHAEL NEFF
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Credential | M.DIV., MSN, APN-BC
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Telephone | 215-806-5333
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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 | 26NJ00123800
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License Number State | NJ
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