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General NPI Number Information
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NPI Number | 1932033172
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Entity Type | Organization
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Legal Business Name | SERV CENTERS OF NEW JERSEY, INC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 777 BLOOMFIELD AVE
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City | CLIFTON
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State | NJ
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Zip | 07012-1242
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Country | US
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Telephone | 609-406-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 3 AAA DR STE 101
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City | HAMILTON
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State | NJ
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Zip | 08691-1814
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Country | US
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Telephone | 609-406-0100
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Fax | 609-584-6232
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Authorized Official
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Title or Position | SVP REVENUE & ACCESS TO CARE
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Name | MARINDA SHAH
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Credential |
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Telephone | 609-406-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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