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General NPI Number Information
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NPI Number | 1881707917
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Entity Type | Individual
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Provider Name | HERBERT GOODFRIEND LCSW LCADC
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 24 ELM ST SUITE 6
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City | MORRISTOWN
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State | NJ
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Zip | 07960-8802
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Country | US
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Telephone | 908-351-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 221 MURRAY ST APT. 5
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City | ELIZABETH
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State | NJ
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Zip | 07202-1909
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Country | US
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Telephone | 908-351-6080
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00048900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC01015800
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License Number State | NJ
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