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General NPI Number Information
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NPI Number | 1386443349
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Entity Type | Organization
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Legal Business Name | VB MINDFUL SOLUTIONS LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 140 S BROADWAY
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City | PITMAN
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State | NJ
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Zip | 08071-2235
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Country | US
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Telephone | 844-365-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 127 RITTENHOUSE DR
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City | DEPTFORD
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State | NJ
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Zip | 08096-5111
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Country | US
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Telephone | 609-970-5797
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | VALERIE R BOLLETINO
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Credential | LCSW
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Telephone | 609-970-5797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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