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General NPI Number Information
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NPI Number | 1619635851
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Entity Type | Individual
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Provider Name | DANIEL VILLARROEL LCSW, LCADC
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Gender | Male
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 171 RIDGEDALE AVE
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1764
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Country | US
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Telephone | 917-520-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 145 RIDGEDALE AVE
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City | MADISON
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State | NJ
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Zip | 07940-1221
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Country | US
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Telephone | 917-520-7520
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00323200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 44SC06042300
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License Number State | NJ
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