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General NPI Number Information
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NPI Number | 1063758167
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Entity Type | Individual
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Provider Name | SUSAN MARIE SCHOU LPC, CSW, CADC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 67 ONEIDA AVE
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City | OAKLAND
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State | NJ
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Zip | 07436-3708
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Country | US
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Telephone | 201-405-0121
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Fax |
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Provider Business Mailing Address
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Address Line | 67 ONEIDA AVE
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City | OAKLAND
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State | NJ
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Zip | 07436-3708
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Country | US
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Telephone | 201-405-0121
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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 | 37LC00060100
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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 | 37PC00244800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SW01249500
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License Number State | NJ
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