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General NPI Number Information
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NPI Number | 1124176391
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Entity Type | Individual
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Provider Name | JENNIFER MORALES M.A, L.P.C, N.C.C
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Gender | Female
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2121 HIGHWAY 33 LEXINGTON SQAURE COMMONS
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-1740
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Country | US
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Telephone | 609-203-0615
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Fax | 856-223-9278
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Provider Business Mailing Address
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Address Line | 163 WOODSTOWN RD
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City | MULLICA HILL
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State | NJ
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Zip | 08062-3601
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Country | US
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Telephone | 609-203-0615
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Fax | 856-223-9278
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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 | 37 PC00046300
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License Number State | NJ
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