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General NPI Number Information
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NPI Number | 1801977210
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Entity Type | Individual
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Provider Name | MARYANN SCAFIDI ED.S.,LMFT,LPC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 1030 CLIFTON AVE SUITE 209
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City | CLIFTON
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State | NJ
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Zip | 07013-3522
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Country | US
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Telephone | 973-473-7488
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Fax | 973-272-2448
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Provider Business Mailing Address
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Address Line | 94 KNAPP AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-1333
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Country | US
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Telephone | 973-473-7488
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Fax | 973-272-2448
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 37FI00147600
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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 | 37PC00134300
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License Number State | NJ
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