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General NPI Number Information
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NPI Number | 1942623343
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Entity Type | Organization
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Legal Business Name | CHESKIS FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 770 E. MAIN STREET SUITE 2-G
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3081
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Country | US
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Telephone | 856-449-1553
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Fax |
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Provider Business Mailing Address
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Address Line | 770 E. MAIN STREET SUITE 2-G
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3081
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Country | US
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Telephone | 856-449-1553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. NEAL ANDREW CHESKIS
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Credential | MSW, LCSW
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Telephone | 856-449-1553
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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 | 44SC05331500
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License Number State | NJ
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