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General NPI Number Information
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NPI Number | 1033667589
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Entity Type | Individual
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Provider Name | DONALD WEINBAUM LCADC
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Gender | Male
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 50 ESCHER ST STE 1
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City | TRENTON
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State | NJ
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Zip | 08609-1045
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Country | US
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Telephone | 609-396-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | BURLINGTON
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State | NJ
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Zip | 08016-0444
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Country | US
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Telephone |
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00010200
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License Number State | NJ
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