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General NPI Number Information
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NPI Number | 1891617783
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Entity Type | Organization
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Legal Business Name | OAKLAND BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 1473 COOLIDGE ST
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City | PLAINFIELD
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State | NJ
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Zip | 07062-2123
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Country | US
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Telephone | 617-905-8743
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Fax | 617-905-8743
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Provider Business Mailing Address
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Address Line | 1473 COOLIDGE ST
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City | PLAINFIELD
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State | NJ
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Zip | 07062-2123
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Country | US
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Telephone | 617-905-8743
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Fax | 617-905-8743
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Authorized Official
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Title or Position | OWNER
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Name | NADEGE DHAITI
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Credential | LAC
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Telephone | 617-905-8743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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