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General NPI Number Information
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NPI Number | 1043400252
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Entity Type | Individual
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Provider Name | THOMAS J MACKAREVICH PH.D., LCSW, LCADC
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Gender | Male
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 15 GRAND AVE
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7503
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Country | US
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Telephone | 732-240-9352
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Fax | 732-240-9352
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Provider Business Mailing Address
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Address Line | 15 GRAND AVE
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7503
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Country | US
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Telephone | 732-240-9352
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Fax | 732-240-9352
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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 | 37LC00102900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC04807300
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License Number State | NJ
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