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General NPI Number Information
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NPI Number | 1235591751
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Entity Type | Individual
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Provider Name | BETH FROMKIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 3 BROAD ST STE 100D
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City | FREEHOLD
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State | NJ
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Zip | 07728-1742
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Country | US
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Telephone | 732-492-4104
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Fax | 732-972-6224
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Provider Business Mailing Address
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Address Line | 231 YELLOWKNIFE RD
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1683
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Country | US
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Telephone | 732-492-4104
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Fax | 732-972-6224
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 44SC04508600
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License Number State | NJ
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