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General NPI Number Information
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NPI Number | 1114542818
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Entity Type | Individual
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Provider Name | ROSA M SANCHEZ-LEPOND
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 1135 CLIFTON AVE STE 207
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City | CLIFTON
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State | NJ
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Zip | 07013-3643
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Country | US
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Telephone | 973-988-4241
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Fax | 718-278-4057
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Provider Business Mailing Address
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Address Line | 5 AMOS ST
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5001
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Country | US
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Telephone | 862-596-9710
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00396100
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License Number State | NJ
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