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General NPI Number Information
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NPI Number | 1942874318
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Entity Type | Organization
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Legal Business Name | HEART 2 HEART SERVICES INC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 130 W WHITE HORSE PIKE STE 1B
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City | BERLIN
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State | NJ
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Zip | 08009-2028
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Country | US
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Telephone | 856-352-5424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | CLEMENTON
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State | NJ
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Zip | 08021-0185
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Country | US
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Telephone | 856-352-5424
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DENISE R POOLE
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Credential | LPC
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Telephone | 856-287-5240
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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 |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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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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