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General NPI Number Information
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NPI Number | 1912735663
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Entity Type | Organization
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Legal Business Name | CEDARVIEW HEALTH LLC
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 111 TOWN SQUARE PLACE SUITE 1201 #1032
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City | JERSEY CITY
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State | NJ
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Zip | 07310
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Country | US
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Telephone | 973-755-2887
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Fax | 908-842-0632
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Provider Business Mailing Address
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Address Line | 111 TOWN SQUARE PLACE SUITE 1201 #1032
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City | JERSEY CITY
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State | NJ
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Zip | 07310
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Country | US
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Telephone | 973-755-2887
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Fax | 908-842-0632
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Authorized Official
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Title or Position | FOUNDER
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Name | TRACEY JONES
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Credential | MD
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Telephone | 973-755-2881
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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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