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General NPI Number Information
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NPI Number | 1043821697
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Entity Type | Individual
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Provider Name | MAGARETTE CHARLES LPC, LCADC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2020
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Last Update Date | 09/02/2023
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Provider Practice Location Address
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Address Line | 180 TICES LN STE 202
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1345
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Country | US
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Telephone | 732-354-0050
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Fax | 732-325-0334
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Provider Business Mailing Address
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Address Line | 170 HORIZON DR
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City | EDISON
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State | NJ
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Zip | 08817-5838
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Country | US
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Telephone | 973-444-0658
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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 | 37LC00214700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00963500
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License Number State | NJ
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