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General NPI Number Information
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NPI Number | 1285458364
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Entity Type | Individual
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Provider Name | KENDRA GAINEY MA
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 6 CORNWALL CT STE B
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3347
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Country | US
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Telephone | 732-955-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 74 S MUNN AVE APT 6G
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City | EAST ORANGE
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State | NJ
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Zip | 07018-4309
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Country | US
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Telephone | 908-410-0721
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37FA00042200
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License Number State | NJ
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