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General NPI Number Information
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NPI Number | 1235034349
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Entity Type | Organization
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Legal Business Name | NORTH STAR WELLNESS LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 900C LAKE STREET SUITE 2
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City | RAMSEY
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State | NJ
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Zip | 07446-1335
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Country | US
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Telephone | 973-460-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 324 HICKORY STREET
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City | TOWNSHIP OF WASHINGTON
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State | NJ
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Zip | 07676-5028
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Country | US
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Telephone | 973-460-6463
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIE CLAIRE FLORENTINO
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Credential | LPC, LCADC
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Telephone | 973-460-6463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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