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General NPI Number Information
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NPI Number | 1114874260
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Entity Type | Individual
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Provider Name | EVELYN M TARR
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Gender | Female
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 1008 BROAD ST
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City | NEWARK
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State | NJ
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Zip | 07102-2503
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Country | US
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Telephone | 862-450-6667
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 NECK LN UNIT 311
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City | ELIZABETH
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State | NJ
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Zip | 07201-3436
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Country | US
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Telephone | 347-359-5660
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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 | 44SL07267600
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License Number State | NJ
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