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General NPI Number Information
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NPI Number | 1538064530
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Entity Type | Individual
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Provider Name | CHAMYLAH GENERAL LPC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 2333 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-5714
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Country | US
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Telephone | 908-291-2727
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Fax | 908-291-1211
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Provider Business Mailing Address
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Address Line | 10 HILL ST APT 7Y
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City | NEWARK
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State | NJ
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Zip | 07102-5615
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Country | US
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Telephone | 347-608-8327
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00727500
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License Number State | NJ
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