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General NPI Number Information
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NPI Number | 1114267754
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Entity Type | Individual
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Provider Name | KENNETH D GIVINGS LPC
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Gender | Male
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 1215 ROUTE 70
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 848-373-2199
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1174
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City | NEPTUNE
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State | NJ
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Zip | 07754-1174
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Country | US
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Telephone | 732-918-8661
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Fax | 732-918-8714
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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 | 37PC00564000
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License Number State | NJ
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