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General NPI Number Information
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NPI Number | 1740531664
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Entity Type | Individual
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Provider Name | LAUREL JENINE JULIANO LCADC, LAP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 340 ATLANTIC CITY BOULEVARD
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City | BAYVILLE
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State | NJ
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Zip | 08721
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Country | US
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Telephone | 848-224-4897
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Fax | 848-224-4826
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Provider Business Mailing Address
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Address Line | 340 ROUTE 9
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City | BAYVILLE
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State | NJ
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Zip | 08721-1255
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Country | US
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Telephone | 732-349-1977
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Fax | 848-224-4826
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC01170200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00187900
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License Number State | NJ
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