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General NPI Number Information
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NPI Number | 1689182974
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Entity Type | Organization
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Legal Business Name | GUIDED PATHS LLC
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Dates
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Enumeration Date | 01/20/2018
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 727 COBBLE CREEK CIR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1843
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Country | US
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Telephone | 732-598-6716
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Fax |
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Provider Business Mailing Address
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Address Line | 727 COBBLE CREEK CIR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1843
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Country | US
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Telephone | 732-598-6716
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MS. DANIELLE TARZY
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Credential | SSW, MSW, LCSW
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Telephone | 732-598-6716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05719900
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License Number State | NJ
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