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General NPI Number Information
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NPI Number | 1245918895
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Entity Type | Individual
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Provider Name | DEMETRIUS D DUPREE LPC
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Gender | Male
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 185 NJ 36 BLDGE A, SUITE # 215
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764
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Country | US
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Telephone | 732-781-0886
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4007
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City | LONG BRANCH
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State | NJ
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Zip | 07740-4007
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Country | US
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Telephone | 732-996-0645
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37PC00937100
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License Number State | NJ
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