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General NPI Number Information
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NPI Number | 1982495990
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Entity Type | Organization
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Legal Business Name | FAMILY BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2003 MORRIS AVE STE 1A
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City | UNION
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State | NJ
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Zip | 07083-6081
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Country | US
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Telephone | 862-203-8277
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Fax |
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Provider Business Mailing Address
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Address Line | 2531 JACKSON AVE
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City | UNION
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State | NJ
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Zip | 07083-3926
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Country | US
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Telephone | 862-203-8277
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Fax | 862-422-2450
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Authorized Official
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Title or Position | APN/OWNER
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Name | ASSUMPTA EKEH
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Credential |
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Telephone | 862-203-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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