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General NPI Number Information
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NPI Number | 1710032263
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Entity Type | Individual
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Provider Name | BARBARA ELIZABETH MCDERMOTT LPC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 145 MAPLE AVE
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City | RED BANK
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State | NJ
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Zip | 07701-1717
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Country | US
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Telephone | 732-758-0094
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Fax | 732-758-0173
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Provider Business Mailing Address
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Address Line | 286 ROCKWELL AVE
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City | LONG BRANCH
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State | NJ
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Zip | 07740-7331
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Country | US
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Telephone | 732-870-8962
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00321600
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License Number State | NJ
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