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General NPI Number Information
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NPI Number | 1720842032
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Entity Type | Organization
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Legal Business Name | KIM M BORGES, MA, LPC, LCADC LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 1700 WHITEHORSE HAMILTON SQUARE RD
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-3536
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Country | US
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Telephone | 609-933-0800
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Fax | 609-379-8995
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Provider Business Mailing Address
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Address Line | 33 SADDLE WAY
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City | CHESTERFIELD
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State | NJ
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Zip | 08515-2919
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Country | US
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Telephone | 609-933-0800
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Fax | 609-379-8995
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Authorized Official
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Title or Position | SOLE MEMBER/LICENSED COUNSELOR
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Name | MS. KIM BORGES
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Credential | LPC, LCADC
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Telephone | 609-933-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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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