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General NPI Number Information
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NPI Number | 1184960056
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Entity Type | Individual
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Provider Name | DARAH MANZIONE MS, LPC, ACS
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Gender | Female
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Dates
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Enumeration Date | 12/21/2012
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 900 ROUTE 168 STE G3
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-3233
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Country | US
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Telephone | 856-302-5728
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Fax |
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Provider Business Mailing Address
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Address Line | 900 ROUTE 168 STE G3
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-3233
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Country | US
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Telephone | 856-302-5728
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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 | PC008278
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00566800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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