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General NPI Number Information
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NPI Number | 1922262393
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Entity Type | Organization
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Legal Business Name | THE INSTITUTE FOR FAMILY & ADOLESCENT SVCS INC
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 60 FIRST AVE SUITE 4
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City | RARITAN
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State | NJ
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Zip | 08869
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Country | US
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Telephone | 908-526-7809
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Fax | 908-526-7809
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Provider Business Mailing Address
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Address Line | 60 FIRST AVE SUITE 4
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City | RARITAN
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State | NJ
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Zip | 08869
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Country | US
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Telephone | 908-526-7809
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Fax | 908-526-7809
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Authorized Official
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Title or Position | EXECUTIVE DIRECTIVE
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Name | MS. HOPE LAZARERSCU
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Credential | MSW LSW
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Telephone | 908-526-7809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SC04642400
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License Number State | NJ
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