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General NPI Number Information
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NPI Number | 1255923330
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Entity Type | Organization
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Legal Business Name | MOTIVATIONAL COUNSELING CENTER OF NEW JERSEY
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 2995 CHAPEL AVE W APT 7R
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3933
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Country | US
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Telephone | 973-224-4256
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Fax |
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Provider Business Mailing Address
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Address Line | 2995 CHAPEL AVE W APT 7R
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3933
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Country | US
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Telephone | 973-224-4256
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. ROBERT W BAUR I
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Credential | LPC
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Telephone | 973-224-4256
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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 |
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License Number State |
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