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General NPI Number Information
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NPI Number | 1740830496
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Entity Type | Organization
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Legal Business Name | EMERALD SERENITY COUNSELING LLC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 45 E MAIN ST STE 206
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City | FREEHOLD
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State | NJ
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Zip | 07728-2234
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Country | US
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Telephone | 732-705-0656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-0202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER ELKOWITZ
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Credential |
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Telephone | 732-705-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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