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General NPI Number Information
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NPI Number | 1922418656
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Entity Type | Organization
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Legal Business Name | CARE COUNSELING CENTER
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 672 US HIGHWAY 202/206
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1747
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Country | US
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Telephone | 862-268-2417
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SLACK CT
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-5775
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Country | US
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Telephone | 862-268-2417
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. MARIA L RODRIGUEZ
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Credential | LPC
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Telephone | 862-268-2417
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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 | 37PC00342400
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License Number State | NJ
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