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General NPI Number Information
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NPI Number | 1942523790
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Entity Type | Organization
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Legal Business Name | BERGEN BEHAVIORAL HEALTH PC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 140 N STATE RT 17 STE 250
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City | PARAMUS
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State | NJ
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Zip | 07652-2821
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Country | US
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Telephone | 973-349-7490
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Fax | 201-225-2556
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Provider Business Mailing Address
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Address Line | 63 LILAC LN
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City | PARAMUS
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State | NJ
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Zip | 07652-5244
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Country | US
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Telephone | 973-879-1894
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD Z NIAZI
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Credential | MD
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Telephone | 973-879-1894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA08309700
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License Number State | NJ
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