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General NPI Number Information
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NPI Number | 1477064442
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Entity Type | Organization
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Legal Business Name | WELLNESS COACHING OF NEW JERSEY
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 256 COLUMBIA TPKE STE 103
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1231
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Country | US
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Telephone | 973-407-0685
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Fax |
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Provider Business Mailing Address
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Address Line | 256 COLUMBIA TPKE STE 103
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1231
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Country | US
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Telephone | 973-407-0685
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | ROBIN LYNNE MUSKAL
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Credential | PH.D. LPC
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Telephone | 973-407-0685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00594600
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License Number State | NJ
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