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General NPI Number Information
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NPI Number | 1639051261
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Entity Type | Individual
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Provider Name | KAROL ANN VILLALUZ AGUILA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 160 PEHLE AVE STE 100
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-5227
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Country | US
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Telephone | 973-771-3560
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Fax |
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Provider Business Mailing Address
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Address Line | 449 FRANKLIN AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1544
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Country | US
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Telephone | 862-215-0597
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Fax | 862-215-0597
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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 | 37AC00777200
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License Number State | NJ
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