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General NPI Number Information
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NPI Number | 1518842012
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Entity Type | Individual
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Provider Name | SAMANTHA MARIA SENDAWY LAC, NCC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 595 CHESTNUT RIDGE RD
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677-7663
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Country | US
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Telephone | 551-368-0307
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Fax |
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Provider Business Mailing Address
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Address Line | 265 LANZA AVE
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City | GARFIELD
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State | NJ
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Zip | 07026-3513
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Country | US
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Telephone | 201-663-5960
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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 | 37AC00864400
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License Number State | NJ
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