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General NPI Number Information
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NPI Number | 1306219035
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Entity Type | Organization
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Legal Business Name | ABOUT KIDS, LLP
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 345 UNION HILL RD BLDG 2, STE F
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City | MANALAPAN
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State | NJ
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Zip | 07726-1875
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Country | US
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Telephone | 732-780-9900
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Fax | 732-780-9420
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Provider Business Mailing Address
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Address Line | 345 UNION HILL RD BLDG 2, STE F
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City | MANALAPAN
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State | NJ
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Zip | 07726-1875
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Country | US
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Telephone | 732-780-9900
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Fax | 732-780-9420
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DR. MELODY MIDONECK
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Credential | DSW, LCSW, RPT-S
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Telephone | 732-780-9900
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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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