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General NPI Number Information
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NPI Number | 1871446385
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Entity Type | Organization
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Legal Business Name | TAKE BACK CONTROL LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 221 RIVER ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-5989
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Country | US
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Telephone | 908-534-6505
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HARVEST HILL DR
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City | STOCKTON
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State | NJ
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Zip | 08559-1915
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Country | US
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Telephone | 908-534-6505
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Fax | 331-284-6380
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Authorized Official
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Title or Position | OWNER
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Name | MICHAELA K TRIMBLE
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Credential |
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Telephone | 908-524-6505
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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 |
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License Number State |
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