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General NPI Number Information
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NPI Number | 1073821047
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Entity Type | Individual
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Provider Name | DAVID BROWER MSW
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Gender | Male
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 7 DOIG RD STE 2
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City | WAYNE
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State | NJ
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Zip | 07470-7433
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Country | US
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Telephone | 973-628-0234
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Fax | 973-628-1955
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Provider Business Mailing Address
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Address Line | PO BOX 252
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City | PEQUANNOCK
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State | NJ
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Zip | 07440-0252
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Country | US
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Telephone | 973-628-0234
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Fax | 973-628-1955
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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 | 44SC04571600
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License Number State | NJ
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