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General NPI Number Information
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NPI Number | 1477988871
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Entity Type | Individual
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Provider Name | NICOLE PALAGANO LPC
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 240 FRISCH CT SUITE 305
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City | PARAMUS
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State | NJ
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Zip | 07652-5248
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Country | US
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Telephone | 201-805-1602
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Fax |
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Provider Business Mailing Address
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Address Line | 210 MAPLEWOOD AVE
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City | BOGOTA
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State | NJ
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Zip | 07603-1714
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Country | US
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Telephone | 201-805-1602
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00452000
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License Number State | NJ
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