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General NPI Number Information
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NPI Number | 1003349374
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Entity Type | Individual
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Provider Name | KATHERINE A PASEKA M.ED.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 11 OVERLOOK RD MAC II - SUITE 200
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City | SUMMIT
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State | NJ
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Zip | 07901-3577
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Country | US
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Telephone | 908-522-3849
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Fax | 908-522-5779
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Provider Business Mailing Address
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Address Line | 99 BEAUVOIR AVE MAC II - SUITE 200
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-522-3849
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Fax | 908-522-5779
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00585600
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License Number State | NJ
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