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General NPI Number Information
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NPI Number | 1013877067
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Entity Type | Individual
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Provider Name | WENDYANNE BEEDOO LSW
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1 BETHANY RD STE 92
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City | HAZLET
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State | NJ
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Zip | 07730-1669
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Country | US
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Telephone | 917-579-1172
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Fax |
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Provider Business Mailing Address
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Address Line | 167 KIMBERLY RD
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City | COLONIA
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State | NJ
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Zip | 07067-1027
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL05524700
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License Number State | NJ
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