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General NPI Number Information
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NPI Number | 1427759984
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Entity Type | Individual
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Provider Name | MIGUEL AMADOR LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 30 SARGEANT AVE FL 2
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City | CLIFTON
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State | NJ
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Zip | 07013-2047
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Country | US
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Telephone | 973-479-9439
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Fax |
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Provider Business Mailing Address
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Address Line | 212 ELMIRA TRL
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City | HOPATCONG
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State | NJ
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Zip | 07843-1007
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Country | US
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Telephone | 973-479-9439
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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 | 44SC06004700
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License Number State | NJ
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