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General NPI Number Information
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NPI Number | 1730740382
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Entity Type | Individual
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Provider Name | DANIELLA MIRONSKI MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 26 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7366
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Country | US
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Telephone | 908-251-4328
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Fax |
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Provider Business Mailing Address
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Address Line | 44 FELDMAN CT
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City | MAHWAH
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State | NJ
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Zip | 07430-2818
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Country | US
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Telephone | 908-251-4328
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00899300
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License Number State | NJ
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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 | LPC.0016451
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License Number State | CO
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