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General NPI Number Information
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NPI Number | 1932262680
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS PSYCHOTHERAPY OF NORTH JERSEY PC
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Dates
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Enumeration Date | 12/17/2006
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 340 E MAPLE AVE SUITE 204C
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City | LANGHORNE
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State | PA
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Zip | 19047-2850
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Country | US
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Telephone | 215-750-0459
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Fax | 215-750-0489
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Provider Business Mailing Address
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Address Line | 668 STONY HILL RD SUITE 255
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City | YARDLEY
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State | PA
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Zip | 19067-4497
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Country | US
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Telephone | 215-750-0459
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Fax | 215-750-0489
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Authorized Official
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Title or Position | CLINICIAN
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Name | DR. JANE CAROL COLLASO
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Credential | LCSW
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Telephone | 215-750-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC04734600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 044809-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015472
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License Number State | PA
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