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General NPI Number Information
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NPI Number | 1831697275
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Entity Type | Individual
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Provider Name | JOSE LUIS POSOS M.ED., LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 716 PAGE AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-2517
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Country | US
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Telephone | 201-920-1394
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1449
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City | CLIFTON
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State | NJ
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Zip | 07015-1449
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Country | US
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Telephone | 201-920-1394
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00594900
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License Number State | NJ
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