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General NPI Number Information
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NPI Number | 1932982725
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Entity Type | Organization
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Legal Business Name | HOPSCOTCH HEALTH OF NJ PC
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 10265 ROCKINGHAM DR STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95827-2566
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Country | US
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Telephone | 617-333-8740
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Fax |
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Provider Business Mailing Address
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Address Line | 447 BROADWAY 2ND FL 687
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City | NEW YORK
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State | NY
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Zip | 10013
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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 | ASSISTANT SECRETARY
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Name | MARLA BEYER
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Credential |
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Telephone | 617-333-8740
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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