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General NPI Number Information
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NPI Number | 1720215213
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Entity Type | Organization
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Legal Business Name | FUTURE KNOWLEDGE CENTER FOR WOMEN
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 238 UNION BLVD 1ST FLOOR
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City | TOTOWA
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State | NJ
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Zip | 07512-2609
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Country | US
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Telephone | 973-684-4700
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Fax | 973-684-5353
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Provider Business Mailing Address
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Address Line | 238 UNION BLVD 1ST FLOOR
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City | TOTOWA
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State | NJ
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Zip | 07512-2609
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Country | US
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Telephone | 973-684-4700
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Fax | 973-684-5353
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARIA LUISA RODRIGUEZ
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Credential | LPC
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Telephone | 862-268-2417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 37PC00342400
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License Number State | NJ
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