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General NPI Number Information
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NPI Number | 1093561128
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Entity Type | Individual
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Provider Name | JENNIFER BROOKS LSW
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 131 DELAWARE ST
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City | WOODBURY
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State | NJ
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Zip | 08096-5964
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Country | US
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Telephone | 856-693-5775
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 OLD FORGE RD
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City | NEW CASTLE
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State | DE
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Zip | 19720-5431
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Country | US
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Telephone | 856-723-3709
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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 | 44SL06774700
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License Number State | NJ
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