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General NPI Number Information
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NPI Number | 1861633760
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Entity Type | Individual
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Provider Name | HELENA FOTOPOULOS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 184 RIVERVALE RD
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City | RIVERVALE
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State | NJ
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Zip | 07675-6270
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Country | US
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Telephone | 201-281-1684
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Fax |
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Provider Business Mailing Address
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Address Line | 90 CENTRAL AVE
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City | HILLSDALE
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State | NJ
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Zip | 07642-2120
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Country | US
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Telephone | 201-281-1684
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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 | 37PC00369600
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License Number State | NJ
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