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General NPI Number Information
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NPI Number | 1902328131
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Entity Type | Individual
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Provider Name | ERICA PALMER LPC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 103 SOUTHERN BLVD
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City | CHATHAM
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State | NJ
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Zip | 07928-1336
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Country | US
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Telephone | 201-627-7654
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Fax |
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Provider Business Mailing Address
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Address Line | 103 SOUTHERN BLVD
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City | CHATHAM
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State | NJ
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Zip | 07928-1336
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Country | US
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Telephone | 201-248-3919
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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 | 37PC00737300
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License Number State | NJ
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