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General NPI Number Information
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NPI Number | 1568755494
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Entity Type | Organization
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Legal Business Name | BURKE AND UNGER LIFEWORKS COUNSELING LLC
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 562 KINGSLAND ST
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City | NUTLEY
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State | NJ
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Zip | 07110-1069
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Country | US
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Telephone | 973-441-0886
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Fax | 973-860-1326
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Provider Business Mailing Address
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Address Line | 562 KINGSLAND ST
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City | NUTLEY
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State | NJ
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Zip | 07110-1069
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Country | US
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Telephone | 973-441-0886
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Fax | 973-860-1326
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Authorized Official
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Title or Position | COFOUNDER
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Name | GINA UNGER
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Credential | M.S.W.
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Telephone | 973-930-5507
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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 | 44SC05494400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC00041300
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License Number State | NJ
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