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General NPI Number Information
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NPI Number | 1134305592
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Entity Type | Organization
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Legal Business Name | MEADOWLAND CENTER FOR COUNSELING AND PSYCHOTHERAPY
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 38 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2925
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Country | US
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Telephone | 201-864-8272
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Fax |
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Provider Business Mailing Address
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Address Line | 38 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2925
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Country | US
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Telephone | 201-864-8272
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MAUREEN SIMONE-HOCH
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Credential | PH.D.
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Telephone | 201-864-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS002448
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License Number State | NJ
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