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General NPI Number Information
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NPI Number | 1861904963
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY SERVICE OF METROWEST
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 30A VREELAND RD STE 301
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1904
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Country | US
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Telephone | 973-765-9050
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Fax | 973-765-0195
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Provider Business Mailing Address
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Address Line | 30A VREELAND RD STE 301
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1904
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Country | US
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Telephone | 973-765-9050
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Fax | 973-765-0195
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Authorized Official
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Title or Position | CEO
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Name | DR. DIANE K SQUADRON
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Credential | PSYD
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Telephone | 973-765-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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