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General NPI Number Information
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NPI Number | 1164816153
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Entity Type | Individual
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Provider Name | KAPRI NICOLE HEADLEY
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Gender | Female
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 28 VALLEY RD STE 150
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2709
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Country | US
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Telephone | 973-375-1509
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Fax |
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Provider Business Mailing Address
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Address Line | 279 CLARK ST APT A11
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City | HACKENSACK
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State | NJ
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Zip | 07601-1000
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Country | US
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Telephone | 551-284-2958
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00839400
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License Number State | NJ
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