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General NPI Number Information
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NPI Number | 1932922309
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Entity Type | Organization
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Legal Business Name | AMAL PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 3452 BUCKINGHAM LN
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-3802
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Country | US
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Telephone | 551-800-1835
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 ROUTE 70 W STE 2
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3338
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Country | US
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Telephone | 551-800-1835
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAKIYAH ADAMU-SAMBARE
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Credential |
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Telephone | 551-800-1835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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