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General NPI Number Information
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NPI Number | 1760294177
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Entity Type | Organization
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Legal Business Name | FOR THE WELL OF IT
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 8114 FENWICK CT
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City | LAUREL
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State | MD
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Zip | 20707-5612
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Country | US
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Telephone | 732-496-3774
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Fax |
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Provider Business Mailing Address
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Address Line | 296B MATAWAN AVE
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City | CLIFFWOOD
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State | NJ
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Zip | 07721-1240
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Country | US
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Telephone | 732-496-3774
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VONDELLE HARRIS
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Credential |
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Telephone | 732-496-3774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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