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General NPI Number Information
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NPI Number | 1891938023
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Entity Type | Organization
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Legal Business Name | THE FOUNDATION FOR FAMILY GUIDANCE
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Dates
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Enumeration Date | 04/17/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 N STE 104
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City | MARLTON
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State | NJ
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Zip | 08053-3422
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Country | US
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Telephone | 606-509-9497
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Fax |
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Provider Business Mailing Address
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Address Line | 1871 ROUTE 70 E SUITE 202
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | NANCY P GEARHART
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Credential | PH.D.
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Telephone | 856-751-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 37PC00597900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 37PC00597900
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License Number State | NJ
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