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General NPI Number Information
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NPI Number | 1457201527
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Entity Type | Individual
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Provider Name | ERIC MOLL LCADC
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Gender | Male
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 25A HANOVER RD STE 120
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1445
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Country | US
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Telephone | 973-718-5552
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Fax |
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Provider Business Mailing Address
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Address Line | 228 N 10TH ST FL 1
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City | KENILWORTH
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State | NJ
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Zip | 07033-1152
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Country | US
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Telephone | 973-718-5552
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Fax | 973-860-3330
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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 | 37LC00349100
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License Number State | NJ
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