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General NPI Number Information
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NPI Number | 1821413196
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Entity Type | Organization
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Legal Business Name | TJM BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 43 SPRING ST
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City | PRINCETON
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State | NJ
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Zip | 08542-6904
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Country | US
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Telephone | 609-252-9718
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Fax | 609-252-0202
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Provider Business Mailing Address
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Address Line | 43 SPRING ST
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City | PRINCETON
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State | NJ
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Zip | 08542-6904
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Country | US
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Telephone | 609-252-9718
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Fax | 609-252-0202
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS J. MORGAN
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Credential | PSY.D.
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Telephone | 60925297818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00341700
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License Number State | NJ
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