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General NPI Number Information
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NPI Number | 1427410315
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Entity Type | Organization
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Legal Business Name | SUNSHINE FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 24 DOGWOOD TER
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3602
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Country | US
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Telephone | 973-393-7769
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Fax | 973-251-2361
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Provider Business Mailing Address
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Address Line | 24 DOGWOOD TER
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3602
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Country | US
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Telephone | 973-393-7769
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Fax | 973-251-2361
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Authorized Official
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Title or Position | CLINICAL MANAGING PARTNER
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Name | MRS. CHRISTINE ALLISON RAY
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Credential | LMF
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Telephone | 973-393-7769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | NJ 37F100165700
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License Number State | NJ
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