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General NPI Number Information
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NPI Number | 1700128980
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Entity Type | Organization
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Legal Business Name | SYNERGY COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 20 WESLEY RD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 848-219-1709
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Fax | 732-821-2909
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Provider Business Mailing Address
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Address Line | 18 DAVENPORT ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2102
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Country | US
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Telephone | 732-397-6825
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Fax | 732-821-2909
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. PAULA TURSO
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Credential | LCSW
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Telephone | 732-397-6825
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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 | 44SC05418200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC00986100
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License Number State | NJ
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