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General NPI Number Information
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NPI Number | 1932568177
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Entity Type | Individual
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Provider Name | DENISHA GINGLES
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Gender | Female
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 108-136 MARTIN LUTHER KING JR BLVD APT 2007
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City | NEWARK
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State | NJ
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Zip | 07104-5379
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Country | US
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Telephone | 314-252-0513
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Fax |
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Provider Business Mailing Address
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Address Line | 108-136 MARTIN LUTHER KING JR BLVD APT 2007
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City | NEWARK
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State | NJ
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Zip | 07104-5379
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LGP11134
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP11134
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-15-20644
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 001235
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License Number State | NY
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