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General NPI Number Information
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NPI Number | 1871784694
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Entity Type | Individual
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Provider Name | STEPHANIE KOEMPEL LPC, LCADC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 2115 MILLBURN AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3724
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Country | US
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Telephone | 908-581-5681
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Fax | 908-277-9750
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Provider Business Mailing Address
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Address Line | 103 REDWOOD RD
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2427
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Country | US
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Telephone | 908-581-5681
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Fax | 908-277-9750
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00137700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00349500
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License Number State | NJ
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