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General NPI Number Information
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NPI Number | 1598260804
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Entity Type | Individual
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Provider Name | HANNAH BOSSARD LPC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 15 E MAIN ST STE 4
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City | CLINTON
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State | NJ
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Zip | 08809-1400
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Country | US
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Telephone | 908-878-1196
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MEADOW LN
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City | ROSELAND
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State | NJ
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Zip | 07068-1429
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Country | US
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Telephone | 201-704-1723
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC010577
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00605000
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License Number State | NJ
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