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General NPI Number Information
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NPI Number | 1902270663
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Entity Type | Organization
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Legal Business Name | TABRINA HARGROVE MA, LMFT LLC
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 123 N UNION AVE STE 203B
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City | CRANFORD
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State | NJ
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Zip | 07016-2198
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Country | US
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Telephone | 908-821-6231
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Fax | 908-301-0142
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Provider Business Mailing Address
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Address Line | 123 N UNION AVE STE 203B
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City | CRANFORD
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State | NJ
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Zip | 07016-2198
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Country | US
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Telephone | 908-821-6231
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Fax | 908-301-0142
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAMILY THERAP
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Name | MRS. TABRINA HARGROVE
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Credential | MA, LMFT
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Telephone | 908-821-6231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37F100170300
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License Number State | NJ
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