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General NPI Number Information
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NPI Number | 1124979562
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Entity Type | Individual
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Provider Name | MARTINE ACANFORA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 20 POWERS DR
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City | PARAMUS
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State | NJ
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Zip | 07652-2911
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Country | US
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Telephone | 973-634-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 386 HARRISON ST
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City | NUTLEY
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State | NJ
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Zip | 07110-2517
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Country | US
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Telephone | 973-634-6271
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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 | 44SL07047200
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License Number State | NJ
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