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General NPI Number Information
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NPI Number | 1780723213
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Entity Type | Organization
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Legal Business Name | JUDITH G LIVANT LLC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 3 PARKVIEW PLAZA
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-971-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 3 PARKVIEW PLAZA
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-971-0060
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR OF LLC
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Name | MS. JUDITH G LIVANT
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Credential | LPC LCADC
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Telephone | 973-971-0060
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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 | 37PC00009800
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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 | 37PC00009800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00014000
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License Number State | NJ
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