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General NPI Number Information
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NPI Number | 1962735233
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Entity Type | Individual
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Provider Name | IRIS L PERLSTEIN LPC,LCADC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 39 TAMARACK CIR
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City | SKILLMAN
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State | NJ
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Zip | 08558-2019
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Country | US
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Telephone | 609-216-4435
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Fax | 121-534-5710
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Provider Business Mailing Address
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Address Line | 4013 SMOKE RD
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City | DOYLESTOWN
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State | PA
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Zip | 18902-1536
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Country | US
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Telephone | 609-216-4435
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Fax | 121-534-5710
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00109800
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License Number State | NJ
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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 | PC003587
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License Number State | PA
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