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General NPI Number Information
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NPI Number | 1801119896
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Entity Type | Organization
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Legal Business Name | PERSONAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 297 KINDERKAMACK ROAD SUITE 212
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City | ORADELL
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State | NJ
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Zip | 07649
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Country | US
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Telephone | 201-690-6760
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Fax | 201-967-1346
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Provider Business Mailing Address
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Address Line | 297 KINDERKAMACK ROAD SUITE 212
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City | ORADELL
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State | NJ
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Zip | 07649
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Country | US
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Telephone | 201-690-6760
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Fax | 201-967-1346
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Authorized Official
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Title or Position | CLINICIAN/COUNSELOR
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Name | STACEY GLICK-NOVACK
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Credential | LCSW, LCADC
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Telephone | 201-690-6760
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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 | 44SC0430110
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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 | 37LC00056100
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License Number State | NJ
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