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General NPI Number Information
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NPI Number | 1558766394
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Entity Type | Organization
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Legal Business Name | NEW HOPE COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 1215 LIVINGSTON AVE FIRST FLOOR, SUITE 3
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 908-420-9054
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 LIVINGSTON AVEN
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUNI ANTONY
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Credential | LCSW
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Telephone | 908-420-9054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05398100
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License Number State | NJ
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