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General NPI Number Information
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NPI Number | 1962550210
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Entity Type | Organization
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Legal Business Name | MERIDIAN COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE EAST SUITE M 68
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City | CHERRY HILL
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State | NJ
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Zip | 08077-4202
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Country | US
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Telephone | 856-751-0505
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Fax | 856-751-0505
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Provider Business Mailing Address
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Address Line | 1930 MARLTON PIKE E STE V105
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City | CHERRY HILL
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State | NJ
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Zip | 08003-4101
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Country | US
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Telephone | 856-751-0505
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Fax | 856-751-0505
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MIRIAM STERN
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Credential | M.S.W.
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Telephone | 856-751-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NJ
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