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General NPI Number Information
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NPI Number | 1053113522
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Entity Type | Individual
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Provider Name | PAUL JENNINGS LPC
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Gender | Male
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 505 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1609
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Country | US
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Telephone | 609-892-3758
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Fax |
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Provider Business Mailing Address
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Address Line | 107 ORCHARD DR
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City | NORTH CAPE MAY
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State | NJ
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Zip | 08204-3427
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Country | US
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Telephone | 609-827-1967
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC01090200
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License Number State | NJ
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