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General NPI Number Information
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NPI Number | 1811863665
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Entity Type | Individual
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Provider Name | ARIANNE RODRIGUEZ LAC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 984 BERGEN AVE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2335
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Country | US
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Telephone | 732-993-6403
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Fax | 732-626-4544
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Provider Business Mailing Address
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Address Line | 90 NEW ST UNIT 1704
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-4178
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Country | US
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Telephone | 732-993-6403
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Fax | 732-626-4544
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37AC00781600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00781600
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License Number State | NJ
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