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General NPI Number Information
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NPI Number | 1659637114
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Entity Type | Individual
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Provider Name | ROSEMARIE MANES LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 146 LAKEVIEW DR S SUITE 300
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City | GIBBSBORO
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State | NJ
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Zip | 08026-1018
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Country | US
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Telephone | 215-332-2162
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Fax |
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Provider Business Mailing Address
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Address Line | 300 BITTLEWOOD AVE
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City | BERLIN
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State | NJ
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Zip | 08009-9490
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Country | US
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Telephone | 215-332-2162
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37F100160900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000025
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License Number State | PA
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