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General NPI Number Information
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NPI Number | 1366504037
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Entity Type | Individual
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Provider Name | ANGELA MARIE PETRANTO M.A., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3100 PRINCETON PIKE BLDG. 4 SUITE 1C
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2300
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Country | US
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Telephone | 609-291-8237
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Fax | 609-291-8237
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Provider Business Mailing Address
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Address Line | 9 ATRIUM DR
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City | YARDVILLE
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State | NJ
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Zip | 08620-9641
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Country | US
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Telephone | 609-291-8237
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Fax | 609-291-8237
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC#00015
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License Number State | NJ
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