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General NPI Number Information
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NPI Number | 1659545358
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Entity Type | Organization
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Legal Business Name | MARIA VERNACHIO COUNSELING, LLC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 625 ATLANTIC CITY BLVD
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City | BEACHWOOD
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State | NJ
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Zip | 08722-4007
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Country | US
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Telephone | 732-737-1158
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Fax | 848-480-2833
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Provider Business Mailing Address
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Address Line | 625 ATLANTIC CITY BLVD
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City | BEACHWOOD
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State | NJ
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Zip | 08722-4007
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Country | US
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Telephone | 732-737-1158
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Fax | 848-480-2833
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Authorized Official
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Title or Position | LCSW
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Name | MARIA VERNACHIO
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Credential | MSW, LCSW
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Telephone | 732-737-1158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 44SC01304300
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License Number State | NJ
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