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General NPI Number Information
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NPI Number | 1689318487
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Entity Type | Organization
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Legal Business Name | SHAREAM MONEAK MENTORING
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 1806 DUDLEY LN
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City | SOMERSET
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State | NJ
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Zip | 08873-7528
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Country | US
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Telephone | 609-496-3428
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Fax | 888-251-1217
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Provider Business Mailing Address
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Address Line | 1806 DUDLEY LN
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City | SOMERSET
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State | NJ
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Zip | 08873-7528
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Country | US
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Telephone | 609-496-3428
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Fax | 888-251-1217
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHAREAM M CUNNINGHAM
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Credential | BA
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Telephone | 609-496-3428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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