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General NPI Number Information
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NPI Number | 1013992569
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Entity Type | Individual
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Provider Name | CONSTANCE SELIGMAN MSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 248 COLUMBIA TPKE SUITE 208 BLDG 3
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1210
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Country | US
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Telephone | 973-539-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 19 OAK PARK DR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4615
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Country | US
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Telephone | 973-993-9392
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Fax | 973-539-2205
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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 | 44SC00294200
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License Number State | NJ
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