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General NPI Number Information
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NPI Number | 1487699336
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Entity Type | Organization
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Legal Business Name | CAPE COUNSELING SERVICES
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 128 CREST HAVEN RD
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-1651
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Country | US
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Telephone | 609-465-4100
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Fax | 609-465-2588
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Provider Business Mailing Address
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Address Line | 1129 S ROUTE 9 SUITE 1
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2752
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Country | US
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Telephone | 609-778-6103
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Fax | 609-778-6173
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | GREG SPEED
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Credential | LCSW
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Telephone | 609-778-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 40401
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License Number State | NJ
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