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General NPI Number Information
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NPI Number | 1730880279
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Entity Type | Organization
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Legal Business Name | SOLSTICE COUNSELING SERVICES CORP.
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 411 KINGS HWY S
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2512
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Country | US
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Telephone | 609-667-7000
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Fax | 609-288-7210
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Provider Business Mailing Address
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Address Line | 300 BIRMINGHAM RD
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City | PEMBERTON
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State | NJ
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Zip | 08068-1326
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Country | US
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Telephone | 609-667-7000
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Fax | 609-288-7210
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL MANDALE
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Credential | JD
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Telephone | 609-288-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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