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General NPI Number Information
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NPI Number | 1437791142
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Entity Type | Individual
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Provider Name | VICKI PEREZ LPC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 380 FOOTHILL RD
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2255
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Country | US
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Telephone | 609-664-8381
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 RICHMOND CT
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-5503
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Country | US
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Telephone | 732-289-5125
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1095237
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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 | 37AC00449900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00795200
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License Number State | NJ
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