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General NPI Number Information
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NPI Number | 1093488702
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Entity Type | Organization
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Legal Business Name | CARING THERAPIST LLC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 8 JAMES AVE
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City | BLOOMINGDALE
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State | NJ
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Zip | 07403-1317
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Country | US
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Telephone | 862-274-5572
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Fax |
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Provider Business Mailing Address
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Address Line | 8 JAMES AVE
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City | BLOOMINGDALE
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State | NJ
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Zip | 07403-1317
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Country | US
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Telephone | 862-274-5572
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Fax |
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Authorized Official
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Title or Position | LICENSE PROFESSIONAL COUNSELOR
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Name | MRS. CAROLINE BERETTA
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Credential | LPC
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Telephone | 862-274-5572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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