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General NPI Number Information
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NPI Number | 1578350724
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Entity Type | Organization
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Legal Business Name | WAYNE COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1022 HAMBURG TPKE
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City | WAYNE
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State | NJ
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Zip | 07470-3209
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Country | US
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Telephone | 973-694-1234
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Fax | 976-633-0992
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Provider Business Mailing Address
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Address Line | 1022 HAMBURG TPKE
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City | WAYNE
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State | NJ
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Zip | 07470-3209
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Country | US
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Telephone | 973-694-1234
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JANE WILLENBORG
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Credential |
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Telephone | 973-694-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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