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NPI 1649282708

NPI 1649282708 : MIRIAM LINDER LPC : CLIFTON, NJ

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General NPI Number Information
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    NPI Number           |    1649282708
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    Entity Type          |    Individual 
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    Provider Name        |    MIRIAM LINDER LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    642 BROAD ST SUITE 3
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    City                 |    CLIFTON
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    State                |    NJ
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    Zip                  |    07013-1615
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    Country              |    US
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    Telephone            |    973-744-0125
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    Fax                  |    973-744-7559
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Provider Business Mailing Address
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    Address Line         |    185 UPPER MOUNTAIN AVE 
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    City                 |    MONTCLAIR
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    State                |    NJ
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    Zip                  |    07042-1905
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    Country              |    US
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    Telephone            |    973-744-0125
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    Fax                  |    973-744-7559
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    37PC00056500
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    44SW01198400
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    License Number State |    NJ
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