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General NPI Number Information
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NPI Number | 1912031865
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Entity Type | Organization
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Legal Business Name | FUTURE PROJECT
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5-7 MILL ST
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City | PATERSON
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State | NJ
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Zip | 07501-1808
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Country | US
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Telephone | 973-684-4700
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Fax | 973-684-5353
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Provider Business Mailing Address
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Address Line | PO BOX 8654
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City | HALEDON
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State | NJ
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Zip | 07538-8654
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Country | US
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Telephone | 973-684-4700
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Fax | 973-684-5353
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARIA L RODRIGUEZ
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Credential | LPC
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Telephone | 973-684-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00342400
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License Number State | NJ
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