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General NPI Number Information
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NPI Number | 1225232457
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Entity Type | Organization
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Legal Business Name | ACQUIRE THE LEGACY COUNSELING
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 717 E LANDIS AVE STE., 5
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City | VINELAND
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State | NJ
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Zip | 08360-8000
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Country | US
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Telephone | 609-233-7652
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1150
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City | VINELAND
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State | NJ
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Zip | 08362-1150
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Country | US
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Telephone | 609-233-7652
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, COUNSELOR
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Name | DOROTHY E JAMES WESLEY
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Credential | C.C.C., S.W.,P.C.,
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Telephone | 609-233-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NJ
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Taxonomy #3
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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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