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General NPI Number Information
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NPI Number | 1922973262
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH OF ASSOCIATES
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 550 HARBORTOWN BLVD
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3088
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Country | US
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Telephone | 973-323-4381
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Fax |
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Provider Business Mailing Address
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Address Line | 550 HARBORTOWN BLVD
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3088
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Country | US
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Telephone | 973-323-4381
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHANAKAY CAMPBELL
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Credential |
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Telephone | 973-323-4381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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