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General NPI Number Information
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NPI Number | 1366155889
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Entity Type | Individual
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Provider Name | JOSEPH LEONARD ZVIRBLIS PHD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 55 NEWTON SPARTA RD STE 103104
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City | NEWTON
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State | NJ
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Zip | 07860-2772
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Country | US
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Telephone | 973-214-9034
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PLAINFIELD AVE
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City | NEWTON
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State | NJ
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Zip | 07860-1914
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Country | US
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Telephone | 973-214-9034
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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 | 37PC000885000
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License Number State | NJ
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