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General NPI Number Information
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NPI Number | 1790367688
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Entity Type | Organization
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Legal Business Name | TRANQUIL HEART, A NJ NONPROFIT CORPORATION
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 339 HIGHWAY 33 STE 2
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City | HAMILTON
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State | NJ
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Zip | 08619-4420
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Country | US
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Telephone | 609-379-3693
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3134339 HIGHWAY 33, STE 2,
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City | HAMILTON
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State | NJ
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Zip | 08619-0134
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Country | US
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Telephone | 609-379-3693
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BARBARA PAQUETTE
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Credential | LPC, LCADC
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Telephone | 609-379-3693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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