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General NPI Number Information
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NPI Number | 1275202855
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Entity Type | Organization
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Legal Business Name | YOUR HEALING EXPERIENCE LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 6 E MAIN ST
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City | CLINTON
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State | NJ
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Zip | 08809-2627
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Country | US
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Telephone | 908-824-5470
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 46
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City | ASBURY
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State | NJ
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Zip | 08802-0046
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Country | US
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Telephone | 908-824-5470
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | ELIZABETH DEFRANCO
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Credential |
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Telephone | 908-824-5470
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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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