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General NPI Number Information
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NPI Number | 1073114542
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Entity Type | Individual
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Provider Name | JENNA ZEMACHSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 61 CARTON ST
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City | RUMSON
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State | NJ
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Zip | 07760-1603
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Country | US
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Telephone | 732-533-4424
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Fax |
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Provider Business Mailing Address
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Address Line | 26 HAWTHORNE RD
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City | SHORT HILLS
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State | NJ
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Zip | 07078-3404
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Country | US
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Telephone | 917-887-7405
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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 | 029481
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License Number State | NJ
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