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General NPI Number Information
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NPI Number | 1790359248
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Entity Type | Organization
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Legal Business Name | THE GROWTH NETWORK LLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 341 GLENWOOD AVE
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City | BURLINGTON
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State | NJ
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Zip | 08016-2512
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Country | US
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Telephone | 862-224-3395
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 251
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City | BURLINGTON
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State | NJ
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Zip | 08016-0251
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. SCHENIKE MASSIE-LAMBERT
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Credential | PH.D.
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Telephone | 609-531-0785
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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 |
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License Number State |
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