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General NPI Number Information
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NPI Number | 1417079716
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Entity Type | Individual
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Provider Name | LORRAINE BASS BOBER M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 15 CHARLES ST SUITE 6H
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City | NEW YORK
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State | NY
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Zip | 10014-3011
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Country | US
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Telephone | 212-924-2530
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Fax |
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Provider Business Mailing Address
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Address Line | 31 MOUNTAIN AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4951
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Country | US
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Telephone | 973-243-1180
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Fax | 973-669-8503
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37RC00000200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001141-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00006000
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License Number State | NJ
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