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General NPI Number Information
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NPI Number | 1518209147
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Entity Type | Organization
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Legal Business Name | NEW PATHS COUNSELING CENTER
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 24 MOUNTAIN VIEW CT
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City | HAMBURG
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State | NJ
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Zip | 07419-2414
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Country | US
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Telephone | 973-823-0048
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Fax | 973-823-0109
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Provider Business Mailing Address
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Address Line | 24 MOUNTAIN VIEW COURT
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City | HAMBURG
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State | NJ
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Zip | 07419
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Country | US
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Telephone | 973-823-0048
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Fax | 973-823-0109
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. ALYCE LOUISE BOLANDER
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Credential | PH.D, RN-BC
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Telephone | 973-823-0048
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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 | OO989
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 00989
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 00989
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 00989
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 00989
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License Number State | NJ
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