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General NPI Number Information
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NPI Number | 1013305234
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Entity Type | Organization
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Legal Business Name | CAPE COUNSELING SERVICES INC
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 128 CREST HAVEN RD
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-1651
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Country | US
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Telephone | 609-465-4100
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Fax | 609-465-2588
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Provider Business Mailing Address
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Address Line | 1129 S ROUTE 9 SUITE 1
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2752
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Country | US
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Telephone | 609-778-6103
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Fax | 609-778-6173
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. GREG SPEED
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Credential | LCSW
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Telephone | 609-778-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2000306
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License Number State | NJ
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