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General NPI Number Information
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NPI Number | 1013057066
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Entity Type | Individual
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Provider Name | MICHAEL A. MICHNYA L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 126 W MEYRAN AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2140
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Country | US
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Telephone | 609-601-0352
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Fax | 609-601-7944
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Provider Business Mailing Address
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Address Line | PO BOX 424
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City | SOMERS POINT
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State | NJ
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Zip | 08244-0424
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Country | US
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Telephone | 609-601-0352
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Fax | 609-601-7944
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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 | 37PC00214700
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License Number State | NJ
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