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General NPI Number Information
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NPI Number | 1467267781
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Entity Type | Organization
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Legal Business Name | MOTIVATING & TRANSFORMING LIVES LLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 7000 HADLEY RD # 1100
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-1139
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Country | US
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Telephone | 908-912-6646
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 HADLEY RD # 1100
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-1139
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | MARYLYNN LAWRENCE
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Credential |
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Telephone | 908-912-6646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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