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General NPI Number Information
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NPI Number | 1063966927
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Entity Type | Individual
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Provider Name | SUSAN J EMERSON M.ED, LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 500 MORRIS AVE STE 313
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1020
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Country | US
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Telephone | 508-951-6266
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Fax |
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Provider Business Mailing Address
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Address Line | 619 FOREST DR
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-4141
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Country | US
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Telephone | 508-951-6266
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Fax | 973-267-0380
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37F100180100
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License Number State | NJ
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