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General NPI Number Information
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NPI Number | 1811049836
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Entity Type | Organization
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Legal Business Name | RICHARD GARIOLO LLC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12 LINCOLN BOULEVARD SUITE 206 RICHARD GARIOLO LLC
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City | EMERSON
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State | NJ
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Zip | 07630-1173
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Country | US
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Telephone | 201-967-9333
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Fax | 201-967-9466
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Provider Business Mailing Address
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Address Line | 12 LINCOLN BOULEVARD SUITE 206 RICHARD GARIOLO LLC
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City | EMERSON
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State | NJ
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Zip | 07630-1173
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Country | US
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Telephone | 201-967-9333
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Fax | 201-967-9466
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. RICHARD GARIOLO
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Credential | LPC
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Telephone | 201-967-9333
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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 | 37PC00001100
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License Number State | NJ
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