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NPI 1497184584

NPI 1497184584 : NANCY ARVIZZIGNO MA, LPC : WESTFIELD, NJ

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General NPI Number Information
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    NPI Number           |    1497184584
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY ARVIZZIGNO MA, LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/08/2013
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    Last Update Date     |    11/08/2013
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Provider Practice Location Address
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    Address Line         |    66 ELM ST. TE 10 
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    City                 |    WESTFIELD
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    State                |    NJ
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    Zip                  |    07090-5104
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    Country              |    US
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    Telephone            |    908-625-7206
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    66 ELM ST STE 10 
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    City                 |    WESTFIELD
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    State                |    NJ
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    Zip                  |    07090-5104
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    Country              |    US
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    Telephone            |    908-625-7206
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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       |    37PC00173700
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    License Number State |    NJ
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