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General NPI Number Information
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NPI Number | 1194307561
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Entity Type | Individual
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Provider Name | CHRISTOPHER CARLINO LPC
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Gender | Male
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 1 LUPTON AVE
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City | WOODBURY
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State | NJ
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Zip | 08096-5901
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Country | US
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Telephone | 856-332-4698
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Fax |
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Provider Business Mailing Address
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Address Line | 128 E PARK AVE FL 2
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109-2558
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Country | US
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Telephone | 609-923-8901
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00760200
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License Number State | NJ
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