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General NPI Number Information
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NPI Number | 1710660998
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Entity Type | Organization
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Legal Business Name | UPLIFT BY V
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 800 N FIELDER RD STE 100A
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City | ARLINGTON
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State | TX
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Zip | 76012-5800
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Country | US
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Telephone | 609-385-5343
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Fax |
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Provider Business Mailing Address
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Address Line | 714 W WHITE HORSE PIKE
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City | EGG HARBOR CITY
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State | NJ
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Zip | 08215-3838
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Country | US
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Telephone | 609-385-5343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALBONA JONUZI
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Credential | LCSW
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Telephone | 609-385-5343
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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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