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General NPI Number Information
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NPI Number | 1508551052
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Entity Type | Organization
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Legal Business Name | WOMANS VIEW THERAPEUTIC ALLIANCE L.L.C
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 1712 VAN WICKLE DR
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City | FRANKLIN PARK
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State | NJ
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Zip | 08823-2609
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Country | US
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Telephone | 804-564-8460
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 VAN WICKLE DR
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City | FRANKLIN PARK
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State | NJ
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Zip | 08823-2609
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Country | US
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Telephone | 804-564-8460
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KARLA CHARLES
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Credential | LPC
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Telephone | 804-564-8460
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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 |
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License Number State |
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