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General NPI Number Information
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NPI Number | 1740009851
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Entity Type | Organization
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Legal Business Name | CARTWHEEL HEALTH SERVICES NEW JERSEY P.C.
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 301 ROUTE 17 STE 800
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City | RUTHERFORD
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State | NJ
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Zip | 07070-2596
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Country | US
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Telephone | 888-500-2067
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Fax |
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Provider Business Mailing Address
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Address Line | 700 MASSACHUSETTS AVE FL 3
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3345
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Country | US
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Telephone | 888-500-2067
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JULIANA CHEN
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Credential |
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Telephone | 917-750-1329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical 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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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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