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General NPI Number Information
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NPI Number | 1114268877
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Entity Type | Organization
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Legal Business Name | JULIE ASEN PHD LCSW LLC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 621 NW 53RD ST SUITE 240
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City | BOCA RATON
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State | FL
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Zip | 33487-8235
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Country | US
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Telephone | 561-706-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 621 NW 53RD ST SUITE 240
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City | BOCA RATON
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State | FL
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Zip | 33487-8235
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Country | US
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Telephone | 561-706-9060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIE ASEN
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Credential | PHD, LCSW
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Telephone | 561-706-9060
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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 | 4542
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License Number State | FL
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