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General NPI Number Information
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NPI Number | 1063551570
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Entity Type | Individual
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Provider Name | DONALD RAYMOND STANTON M.S.W., L.C.S.W.,
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40 AVENUE AT THE CMN SUITE 203
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4532
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Country | US
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Telephone | 732-747-1413
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Fax | 732-935-1727
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Provider Business Mailing Address
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Address Line | 40 AVENUE OF THE CMN SUITE 203
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4800
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Country | US
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Telephone | 732-747-1413
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Fax | 732-935-1727
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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 | 44SC01299900
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License Number State | NJ
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