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General NPI Number Information
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NPI Number | 1841116795
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Entity Type | Individual
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Provider Name | PHILIP A SMYTH III LPC LCADC
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Gender | Male
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 1 S CENTRE ST
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109-2213
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Country | US
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Telephone | 856-754-5087
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Fax |
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Provider Business Mailing Address
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Address Line | 424 COMMERCE LN STE 3
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City | WEST BERLIN
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State | NJ
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Zip | 08091-9276
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC01069800
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License Number State | NJ
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