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General NPI Number Information
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NPI Number | 1750184180
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Entity Type | Organization
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Legal Business Name | RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 100 COLLEGE FARM RD STE A&B
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-3396
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Country | US
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Telephone | 800-969-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 671 HOES LN W
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City | PISCATAWAY
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State | NJ
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Zip | 08854-8021
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Country | US
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Telephone | 732-235-5940
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Fax |
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Authorized Official
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Title or Position | RU, UBHC - CFO
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Name | CARL W O'BRIEN
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Credential |
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Telephone | 732-235-5940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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