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General NPI Number Information
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NPI Number | 1093283814
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Entity Type | Individual
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Provider Name | VICTORIA SIMEONE LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2018
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 18 MACCULLOCH AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-9448
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Country | US
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Telephone | 862-217-6067
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Fax |
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Provider Business Mailing Address
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Address Line | 6 FREDON MARKSBORO RD
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City | NEWTON
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State | NJ
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Zip | 07860-5009
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Country | US
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Telephone | 973-271-3101
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06393600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SCO5990000
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License Number State | NJ
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