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General NPI Number Information
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NPI Number | 1558763805
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Entity Type | Organization
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Legal Business Name | NORTH COUNSELING CENTER
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 44 SKYTOP RDG
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City | OAKLAND
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State | NJ
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Zip | 07436-2356
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Country | US
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Telephone | 973-423-2506
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Fax |
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Provider Business Mailing Address
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Address Line | 44 SKYTOP RDG
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City | OAKLAND
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State | NJ
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Zip | 07436-2356
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Country | US
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Telephone | 973-423-2506
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. THERESA BECKER
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Credential | EDS
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Telephone | 973-423-2506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 39F100107300
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License Number State | NJ
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