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NPI 1912033911

NPI 1912033911 : KELLY BRANHAM ZAREMBA MS, LPC : TRENTON, NJ

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General NPI Number Information
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    NPI Number           |    1912033911
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    Entity Type          |    Individual 
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    Provider Name        |    KELLY BRANHAM ZAREMBA MS, LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/26/2007
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    Last Update Date     |    02/17/2009
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Provider Practice Location Address
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    Address Line         |    39 NORTH CLINTON AVENUE 
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08609
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    Country              |    US
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    Telephone            |    609-394-9398
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    Fax                  |    609-396-2670
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2031 
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08607-2031
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    Country              |    US
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    Telephone            |    908-255-9888
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    Fax                  |    908-255-9888
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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       |    37PC00009700
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    License Number State |    NJ
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