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General NPI Number Information
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NPI Number | 1851099261
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Entity Type | Individual
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Provider Name | HANNA VERGE LPC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 712 E BAY AVE STE 21-C
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-3447
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Country | US
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Telephone | 609-756-5327
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Fax |
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Provider Business Mailing Address
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Address Line | 2136 HOLLYWOOD DR
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City | FORKED RIVER
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State | NJ
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Zip | 08731-3827
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Country | US
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Telephone | 609-290-9726
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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 | 37PC00925900
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License Number State | NJ
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