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General NPI Number Information
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NPI Number | 1659882520
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Entity Type | Organization
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Legal Business Name | EST COUNSELING LLC
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 2 W NORTHFIELD RD STE 305
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3758
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Country | US
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Telephone | 973-477-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 39 ROLLING HILL DR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6230
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Country | US
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Telephone | 973-477-6001
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUSELOR
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Name | MRS. EVE SCHOTT TAUB
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Credential | LPC, ED.S, MA, NCC
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Telephone | 973-477-6001
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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 | 37PC00604900
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License Number State | NJ
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