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General NPI Number Information
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NPI Number | 1730898727
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Entity Type | Individual
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Provider Name | GRACE CAPUTO LPC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 2 PARAGON WAY STE 800
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City | FREEHOLD
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State | NJ
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Zip | 07728-9573
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Country | US
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Telephone | 732-393-8391
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Fax | 732-308-4500
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Provider Business Mailing Address
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Address Line | 2 PARAGON WAY STE 800
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City | FREEHOLD
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State | NJ
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Zip | 07728-9573
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Country | US
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Telephone | 732-393-8391
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Fax | 732-308-4500
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00361400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00554300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00913300
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License Number State | NJ
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