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General NPI Number Information
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NPI Number | 1447422100
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Entity Type | Organization
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Legal Business Name | RAY OF HOPE PSYCHOTHERAPY & COUSELING LLC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 991 RTE 22 SUITE 200
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2956
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Country | US
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Telephone | 908-864-8014
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Fax |
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Provider Business Mailing Address
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Address Line | 225B CARLTON AVE
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City | PISCATAWAY
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State | NJ
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Zip | 08854-3055
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Country | US
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Telephone | 732-529-4380
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MS. KAREN RAY
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Credential | LCSW
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Telephone | 732-529-4380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05312700
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License Number State | NJ
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