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General NPI Number Information
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NPI Number | 1730404500
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Entity Type | Organization
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Legal Business Name | PINNACLE BEHAVIORAL HEALTH INSTITUTE
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 508 LIPPINCOTT DR
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City | MARLTON
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State | NJ
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Zip | 08053-4802
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Country | US
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Telephone | 877-974-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 508 LIPPINCOTT DR
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City | MARLTON
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State | NJ
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Zip | 08053-4802
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Country | US
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Telephone | 877-974-6622
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAJU MATHEWS
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Credential | M.D
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Telephone | 609-760-8910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA08705700
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License Number State | NJ
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