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NPI 1972027357

NPI 1972027357 : JOY E TENGA LPC : OAKLAND, NJ

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General NPI Number Information
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    NPI Number           |    1972027357
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    Entity Type          |    Individual 
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    Provider Name        |    JOY E TENGA LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2017
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    Last Update Date     |    07/27/2017
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Provider Practice Location Address
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    Address Line         |    10 PURDUE AVE 
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    City                 |    OAKLAND
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    State                |    NJ
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    Zip                  |    07436-3430
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    Country              |    US
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    Telephone            |    201-738-3730
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    852 FRANKLIN AVE # 226 
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    City                 |    FRANKLIN LAKES
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    State                |    NJ
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    Zip                  |    07417-1334
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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    |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    37PC00572900
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    License Number State |    NJ
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