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General NPI Number Information
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NPI Number | 1265915243
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Entity Type | Organization
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Legal Business Name | THERAPY BEYOND INSTINCT
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 65 N MAPLE AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3233
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Country | US
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Telephone | 201-389-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CARTERET CT
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City | ALLENDALE
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State | NJ
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Zip | 07401-1821
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Country | US
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Telephone | 845-304-2650
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/ THERAPIST
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Name | TARA LYNN SYM
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Credential | LCSW
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Telephone | 845-304-2650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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