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General NPI Number Information
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NPI Number | 1780812446
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Entity Type | Organization
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Legal Business Name | FAMILY CARE CONNECTIONS, LLC
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 44 COOPER ST SUITE 6
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City | WOODBURY
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State | NJ
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Zip | 08096-4640
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Country | US
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Telephone | 856-579-7303
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Fax | 856-579-7298
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Provider Business Mailing Address
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Address Line | 44 COOPER ST SUITE 6
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City | WOODBURY
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State | NJ
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Zip | 08096-4640
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Country | US
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Telephone | 856-579-7303
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Fax | 856-579-7298
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. BRUCE E. BETNER
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Credential | PH.D., LMFT
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Telephone | 856-340-2528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 37F100162900
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License Number State | NJ
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