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General NPI Number Information
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NPI Number | 1447133988
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Entity Type | Individual
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Provider Name | ELIZABETH SARMIENTO
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 332 N 6TH ST
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City | PROSPECT PARK
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State | NJ
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Zip | 07508-2122
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Country | US
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Telephone | 862-684-5982
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Fax |
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Provider Business Mailing Address
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Address Line | 235 BURHANS AVE
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City | HALEDON
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State | NJ
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Zip | 07508-1442
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Country | US
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Telephone | 862-264-8749
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Fax | 862-264-8749
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00396900
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License Number State | NJ
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