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General NPI Number Information
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NPI Number | 1871958363
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Entity Type | Organization
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Legal Business Name | NJ CENTER FOR PSYCHOTHERAPY
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 56 N CENTRAL AVE
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City | RAMSEY
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State | NJ
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Zip | 07446-1808
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Country | US
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Telephone | 212-316-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 56 N CENTRAL AVE
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City | RAMSEY
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State | NJ
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Zip | 07446-1808
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Country | US
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Telephone | 212-316-5383
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | DR. SHEMSI PRINZIVALLI
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Credential | LPC, CADC
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Telephone | 212-316-5383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | NJ37PC00493200
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License Number State | NJ
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