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General NPI Number Information
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NPI Number | 1679807937
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Entity Type | Individual
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Provider Name | DIANE C NEUMAN M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 125 E MAIN ST SUITE 6
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City | TUCKERTON
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State | NJ
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Zip | 08087-2669
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Country | US
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Telephone | 609-709-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 56 BEACH DR
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-1002
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Country | US
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Telephone | 609-709-9955
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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 | 37FI00160700
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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 | MF000160
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License Number State | PA
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