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General NPI Number Information
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NPI Number | 1255139770
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Entity Type | Individual
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Provider Name | JENNIFER MONIQUE OWENS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 103 ROUTE 70 E
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City | MARLTON
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State | NJ
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Zip | 08053-1889
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Country | US
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Telephone | 856-558-9831
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Fax |
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Provider Business Mailing Address
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Address Line | 2818 ALBERIC ST
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City | VINELAND
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State | NJ
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Zip | 08360-1702
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Country | US
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Telephone | 609-501-9748
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC01110000
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License Number State | NJ
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