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General NPI Number Information
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NPI Number | 1003069386
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Entity Type | Individual
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Provider Name | WENDI BETH ROTHSTEIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 111 QUIMBY ST SUITE 10
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City | WESTFIELD
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State | NJ
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Zip | 07090-2185
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Country | US
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Telephone | 908-654-1117
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Fax | 908-755-0888
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Provider Business Mailing Address
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Address Line | 111 QUIMBY ST SUITE 10
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City | WESTFIELD
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State | NJ
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Zip | 07090-2185
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Country | US
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Telephone | 908-654-1117
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Fax | 908-755-0888
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC01434100
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License Number State | NJ
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