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General NPI Number Information
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NPI Number | 1235585019
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Entity Type | Organization
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Legal Business Name | MATTHEW T FURLONG JR LPC
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 1254 ROUTE 27 SUITE 1
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1765
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Country | US
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Telephone | 732-397-3221
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Fax |
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Provider Business Mailing Address
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Address Line | 1254 ROUTE 27 SUITE 1
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1765
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Country | US
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Telephone | 732-397-3221
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MATT FURLONG
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Credential | LPC
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Telephone | 732-397-3221
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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 | 37PC00394600
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License Number State | NJ
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