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General NPI Number Information
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NPI Number | 1982238531
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Entity Type | Organization
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Legal Business Name | EMPOWERING CHANGE MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/22/2020
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Last Update Date | 02/22/2020
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Provider Practice Location Address
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Address Line | 103 TULSA TRL
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City | HOPATCONG
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State | NJ
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Zip | 07843-1236
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Country | US
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Telephone | 973-607-7593
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Fax |
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Provider Business Mailing Address
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Address Line | 310 MAIN ST
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-2004
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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
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Name | DENISE GACCIONE
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Credential | LCSW
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Telephone | 973-607-7593
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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 |
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