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General NPI Number Information
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NPI Number | 1649594771
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Entity Type | Organization
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Legal Business Name | MARCIA D. LITE-BRAUS, LPC, LLC
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 150 JOHN F. KENNEDY PARKWAY SUITE 100
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City | SHORT HILLS
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State | NJ
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Zip | 07078
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Country | US
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Telephone | 908-239-3073
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Fax | 973-467-7950
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Provider Business Mailing Address
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Address Line | 150 JOHN F. KENNEDY PARKWAY SUITE 100
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City | SHORT HILLS
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State | NJ
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Zip | 07078
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Country | US
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Telephone | 908-239-3073
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Fax | 973-467-7950
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. MARCIA D. LITE-BRAUS
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Credential | LPC
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Telephone | 908-239-3073
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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 | 37PC00368600
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License Number State | NJ
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