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General NPI Number Information
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NPI Number | 1386382919
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Entity Type | Individual
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Provider Name | AUBREY DEAN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 115 E 5TH ST
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City | PALMYRA
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State | NJ
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Zip | 08065-2622
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Country | US
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Telephone | 609-880-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 870 E ROUTE 130 APT J1
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City | BURLINGTON
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State | NJ
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Zip | 08016-2875
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Country | US
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Telephone | 480-248-4578
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00846000
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License Number State | NJ
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