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General NPI Number Information
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NPI Number | 1760200406
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Entity Type | Organization
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Legal Business Name | COMPASS HEALTH SYSTEMS OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 1000 GALLOPING HILL RD
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City | UNION
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State | NJ
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Zip | 07083-7989
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Country | US
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Telephone | 888-852-6672
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Fax | 786-235-6225
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Provider Business Mailing Address
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Address Line | 1065 NE 125TH ST STE 300
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5833
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Country | US
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Telephone | 888-852-6672
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Fax | 786-235-6225
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | SCOTT SEGAL
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Credential | ME
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Telephone | 888-852-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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