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General NPI Number Information
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NPI Number | 1194137570
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Entity Type | Individual
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Provider Name | VERONICA C CRUZ-MARTINEZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 1050 WALL ST W STE 310
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City | LYNDHURST
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State | NJ
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Zip | 07071-3615
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Country | US
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Telephone | 408-294-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 197 W NEWELL AVE
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City | RUTHERFORD
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State | NJ
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Zip | 07070-2241
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Country | US
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Telephone | 510-289-9854
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T2273
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37FI00198400
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License Number State | NJ
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