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General NPI Number Information
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NPI Number | 1912713264
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Entity Type | Organization
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Legal Business Name | YESTERDAYS FEELINGS
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 209 N DORSET AVE
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City | VENTNOR CITY
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State | NJ
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Zip | 08406-1744
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Country | US
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Telephone | 609-431-0141
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2242
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City | VENTNOR CITY
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State | NJ
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Zip | 08406-0242
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Country | US
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Telephone | 609-431-0141
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER/PROVIDER
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Name | MS. TABITHA ANN HANDELONG
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Credential | LCSW
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Telephone | 609-431-0141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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