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General NPI Number Information
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NPI Number | 1457477879
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Entity Type | Individual
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Provider Name | JOHN CERRATO LCADC
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 W MAIN ST
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City | MENDHAM
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State | NJ
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Zip | 07945-1230
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Country | US
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Telephone | 973-543-5656
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Fax | 973-543-5273
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Provider Business Mailing Address
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Address Line | 19 VILLAGE GRN APT R
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City | BUDD LAKE
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State | NJ
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Zip | 07828-1319
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Country | US
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Telephone | 973-347-3879
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00115500
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License Number State | NJ
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