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General NPI Number Information
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NPI Number | 1831468263
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY PSYCHIATRY,INC
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 5912 PALISADE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2112
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Country | US
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Telephone | 201-861-0077
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Fax | 201-861-9595
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Provider Business Mailing Address
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Address Line | 31 W RUBY AVE
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City | PALISADES PARK
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State | NJ
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Zip | 07650-1008
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Country | US
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Telephone | 201-861-0077
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Fax | 201-861-9595
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL RENE SANCHEZ
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Credential | M.D.
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Telephone | 201-861-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | MA71572
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License Number State | NJ
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