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General NPI Number Information
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NPI Number | 1508143561
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Entity Type | Organization
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Legal Business Name | CAPE MAY COUNTY COUNCIL ON ALCOHOLISM AND DRUG ABUSE INC.
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 3819 NEW JERSEY AVE
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City | WILDWOOD
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State | NJ
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Zip | 08260-1914
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Country | US
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Telephone | 609-522-5960
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Fax | 609-522-4074
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Provider Business Mailing Address
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Address Line | 3819 NEW JERSEY AVE
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City | WILDWOOD
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State | NJ
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Zip | 08260-1914
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Country | US
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Telephone | 609-522-5960
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Fax | 609-522-4074
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. JOANNA HEATHER LITTLE
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Credential | M.ED, LPC
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Telephone | 609-522-5960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2000388-10
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License Number State | NJ
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