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General NPI Number Information
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NPI Number | 1992216527
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Entity Type | Organization
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Legal Business Name | METROPOLITAN CENTER FOR HUMAN SERVICES
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 10/23/2017
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Provider Practice Location Address
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Address Line | 520 DR. MARTIN LUTHER KING, JR. BOULEVARD
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City | NEWARK
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State | NJ
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Zip | 07102
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Country | US
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Telephone | 201-358-2343
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Fax | 201-358-1008
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Provider Business Mailing Address
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Address Line | 280 RIDGEWOOD BOULEVARD NORTH
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City | TOWNSHIP OF WASHINGTON
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State | NJ
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Zip | 07676
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Country | US
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Telephone | 201-358-2343
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Fax | 201-358-2343
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Authorized Official
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Title or Position | DIRECTOR/LICENSED PSYCHOLOGIST
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Name | MR. GERARD ANTHONY FIGURELLI
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Credential | PH.D.
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Telephone | 201-358-2343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2892
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License Number State | NJ
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