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General NPI Number Information
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NPI Number | 1134617343
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Entity Type | Individual
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Provider Name | MARY PAJIC LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 03/27/2022
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Provider Practice Location Address
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Address Line | 3851 FILBERT AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-1339
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Country | US
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Telephone | 609-334-6859
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Fax |
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Provider Business Mailing Address
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Address Line | 3851 FILBERT AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-1339
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Country | US
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Telephone | 609-334-6859
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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 | 44SL05527300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 829729
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06036300
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License Number State | NJ
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