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General NPI Number Information
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NPI Number | 1962284323
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Entity Type | Organization
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Legal Business Name | SANDY SHORE FAMILY COUNSELING
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 505 NEW ROAD SUITE 6
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City | SOMERS POINT
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State | NJ
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Zip | 08244
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Country | US
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Telephone | 609-224-9572
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 456
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City | ELLENDALE
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State | DE
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Zip | 19941-0456
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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 | OWNER/LEAD THERAPIST
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Name | BRENNA CASH
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Credential |
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Telephone | 609-224-9572
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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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