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General NPI Number Information
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NPI Number | 1811850837
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Entity Type | Organization
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Legal Business Name | SOUTH JERSEY MINDSET
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 344 ROUTE 9
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City | LANOKA HARBOR
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State | NJ
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Zip | 08734-2830
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Country | US
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Telephone | 732-860-9922
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Fax | 732-231-5942
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Provider Business Mailing Address
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Address Line | 344 ROUTE 9
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City | LANOKA HARBOR
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State | NJ
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Zip | 08734-2830
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Country | US
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Telephone | 732-860-9922
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Fax | 732-231-5942
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIE BOYLE
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Credential | DNP,FNPBC
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Telephone | 732-860-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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