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General NPI Number Information
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NPI Number | 1942604558
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Entity Type | Organization
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Legal Business Name | UNITY PLACE OF MONMOUTH COUNTY
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1075 STEPHENSON AVE STE 1
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City | OCEANPORT
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State | NJ
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Zip | 07757-1242
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Country | US
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Telephone | 848-208-2636
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Fax | 908-208-2051
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Provider Business Mailing Address
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Address Line | 821 WOODLAND DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3038
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Country | US
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Telephone | 732-774-0911
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JERRY TISCHLER
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Credential | BS
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Telephone | 917-476-9453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 727010105
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License Number State | NJ
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