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General NPI Number Information
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NPI Number | 1306481619
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Entity Type | Individual
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Provider Name | CYNTHIA ARNAO LAC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 220 LENOX AVE STE OFFICE5
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City | WESTFIELD
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State | NJ
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Zip | 07090-5101
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Country | US
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Telephone | 908-543-9100
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Fax | 201-624-7846
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Provider Business Mailing Address
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Address Line | 125 GATES AVE APT 9
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2538
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Country | US
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Telephone | 201-906-8357
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37AC00344200
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License Number State | NJ
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