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General NPI Number Information
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NPI Number | 1912719584
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Entity Type | Organization
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Legal Business Name | MANA HEALTH PARTNERS NJ PC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 338 WHITESVILLE RD STE 103
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City | JACKSON
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State | NJ
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Zip | 08527-5097
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Country | US
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Telephone | 732-552-8922
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Fax |
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Provider Business Mailing Address
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Address Line | 338 WHITESVILLE RD STE 103
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City | JACKSON
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State | NJ
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Zip | 08527-5097
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Country | US
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Telephone | 224-777-8036
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MITCH SCHWARZ
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Credential |
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Telephone | 224-777-8036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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