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General NPI Number Information
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NPI Number | 1023811080
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Entity Type | Organization
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Legal Business Name | LIFE COACHING AND CONSULTING SERVICES
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 151 STATE ROUTE 10 E STE 201
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1452
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Country | US
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Telephone | 862-243-0512
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Fax |
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Provider Business Mailing Address
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Address Line | 19 TAMARI CT
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City | RANDOLPH
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State | NJ
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Zip | 07869-1828
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Country | US
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Telephone | 516-610-9999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERICA CRISTINA GERACI
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Credential | PHD
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Telephone | 516-610-9999
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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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