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General NPI Number Information
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NPI Number | 1568318905
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Entity Type | Organization
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Legal Business Name | HIDDEN CREEK EQUINE THERAPY, LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 147 CHESTERFIELD JACOBSTOWN RD
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City | WRIGHTSTOWN
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State | NJ
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Zip | 08562-1919
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Country | US
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Telephone | 908-910-4599
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Fax |
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Provider Business Mailing Address
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Address Line | 550 MARKETPLACE BLVD # 1062
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City | HAMILTON
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State | NJ
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Zip | 08691-2111
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Country | US
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Telephone | 908-460-7439
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROSEMAUR INTELISANO
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Credential | LPC, NCC
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Telephone | 908-460-7439
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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 |
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License Number State |
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