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General NPI Number Information
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NPI Number | 1265384879
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Entity Type | Individual
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Provider Name | ELENA L ESTRIN LAC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2026
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 25-15 FAIR LAWN AVE STE 5
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City | FAIR LAWN
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State | NJ
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Zip | 07410-3434
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Country | US
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Telephone | 201-625-6494
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CARLYLE DR APT 10JN
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-3502
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Country | US
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Telephone | 201-321-9410
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC0000150
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License Number State | NJ
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