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General NPI Number Information
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NPI Number | 1811778483
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Entity Type | Organization
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Legal Business Name | LIGHTWOOD MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 100 MATAWAN RD STE 325
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City | MATAWAN
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State | NJ
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Zip | 07747-3590
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Country | US
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Telephone | 732-702-3030
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Fax | 732-402-6280
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Provider Business Mailing Address
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Address Line | 100 MATAWAN RD STE 325
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City | MATAWAN
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State | NJ
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Zip | 07747-3590
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Country | US
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Telephone | 732-702-3030
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Fax | 732-402-6280
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Authorized Official
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Title or Position | APN
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Name | ESTHER KUFFOUR
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Credential | APN, PHMNP-BC
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Telephone | 732-702-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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