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General NPI Number Information
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NPI Number | 1346649407
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Entity Type | Organization
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Legal Business Name | VOSSS CORNER COUNSELING CENTER LLC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 220 LENOX AVE SUITE 102
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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 | 908-451-4873
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Fax | 908-322-2657
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Provider Business Mailing Address
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Address Line | 220 LENOX AVE SUITE 102
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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 | 908-451-4873
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Fax | 908-322-2657
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MR. PETER VOSSELER
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Credential | MSW, LCSW
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Telephone | 908-451-4873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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