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General NPI Number Information
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NPI Number | 1326605023
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Entity Type | Individual
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Provider Name | VICTOR VENOKUR LPC
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Gender | Male
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 52 HYERS ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7465
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Country | US
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Telephone | 732-281-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 25 NORTHRUP DR
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City | BRICK
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State | NJ
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Zip | 08724-2019
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Country | US
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Telephone | 848-234-8123
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37AC00460200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00815200
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License Number State | NJ
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