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General NPI Number Information
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NPI Number | 1548322480
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Entity Type | Individual
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Provider Name | LISA HARMON MOLLICONE MA,, LCADC, ICPS CJC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 10/31/2013
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Provider Practice Location Address
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Address Line | 205 ROUTE 9 N SUITE 26
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City | FREEHOLD
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State | NJ
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Zip | 07728-8561
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Country | US
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Telephone | 732-642-5631
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Fax |
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Provider Business Mailing Address
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Address Line | 205 ROUTE 9 NORTH SUITE 26
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City | FREEHOLD
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State | NJ
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Zip | 07728-3068
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Country | US
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Telephone | 732-642-5631
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00076900
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License Number State | NJ
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