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General NPI Number Information
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NPI Number | 1033211370
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Entity Type | Individual
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Provider Name | JOYCE P. ELLIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1011 BOND ST
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City | ASBURY PARK
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State | NJ
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Zip | 07712
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Country | US
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Telephone | 732-869-2780
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Fax |
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Provider Business Mailing Address
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Address Line | 303 LOCKWOOD AVE
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City | ELBERON
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State | NJ
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Zip | 07740
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Country | US
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Telephone | 732-870-1893
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC04685600
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License Number State | NJ
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