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General NPI Number Information
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NPI Number | 1043488125
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Entity Type | Individual
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Provider Name | BARBARA ANNA ZDEP-MATTOCKS LPC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 95 MT. KEMBLE AVENUE
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City | MORRISTOWN
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State | NJ
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Zip | 07962-1978
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Country | US
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Telephone | 888-247-1400
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Fax | 973-451-0166
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Provider Business Mailing Address
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Address Line | 25 LINDSLEY DR STE 100 ATTN: C. LAMPRON
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4456
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Country | US
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Telephone | 973-451-0246
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Fax | 973-451-0166
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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 | 37PC00348300
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License Number State | NJ
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