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General NPI Number Information
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NPI Number | 1700349552
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Entity Type | Organization
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Legal Business Name | PDP ASSOCIATES LLC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 3490 US HIGHWAY 1 BUILDING 16 SUITE 112
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 732-479-1519
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BEAUMONT PL
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City | WESTAMPTON
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State | NJ
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Zip | 08060-6729
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Country | US
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Telephone | 732-986-7663
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | POONAM PATEL
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Credential | LPC
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Telephone | 732-479-1519
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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